OPTN- Post Transplant Malignancy

Post-Transplant Malignancy (PTM) Record Field
Descriptions
The Post-Transplant Malignancy (PTM) record is generated after a malignancy has been reported in
the Transplant Recipient Follow-up (TRF) record. The record should be completed by the transplant
center responsible for the follow-up of the recipient at the time the cancer was reported. If the patient
has more than one follow-up record because of a multi-organ transplant, the malignancy only needs to
be reported in one of the follow-up records. If it is reported in more than one, only one PTM record will
be generated.
If Yes was selected for Post Transplant Malignancies, along with one or more of the post transplant
malignancies listed on the TRF record, the following sections will display in the Post-Transplant
Malignancy record: Donor Related, Recurrence of Pretransplant Malignancy, Post Transplant De Novo
Solid Tumor and/or Post Tx Lymphoproliferative Disease and Lymphoma.
To change the section of the malignancy record that was generated, access the TRF record and select
No to the section that is not needed, and select Yes to the section of the malignancy record that is
needed. To delete the malignancy record, re-access the TRF record and select No in the Post
Transplant Malignancies field.
Note: If no information is available about the malignancy except the fact that they were treated, contact
the UNet Help Desk at 1-800-978-4334. They will have the PTM record validated.
The PTM must be completed within 30 days from the record generation date. See OPTN/UNOS
Policies for additional information. Use the search feature to locate specific policy information on Data
Submission Requirements.
To correct information that is already displayed in an electronic record, call the UNOS Help Desk at 1800-978-4334.
Recipient Information
The following fields reported in the recipient's last completed TRF record display.
Recipient name: Verify the last name, first name and middle initial of the transplant recipient.
Date of birth: Verify the recipient's date of birth.
Recipient SSN: Verify the recipient's social security number.
Recipient organ: Verify the type of organ transplanted.
TRF: Verify the Transplant Recipient Follow-up record number from which this malignancy record was
generated.
Follow-up code: Verify the TRF Follow-up Code for the record from which this malignancy record was
generated.
Transplant date: Verify that the displayed transplant date is the date of the beginning of the first
anastomosis. If the operation started in the evening and the first anastomosis began early the next
morning, the transplant date is the date that the first anastomosis began. The transplant is considered
complete when the cavity is closed and the final skin stitch/staple is applied.
Follow-up center: Verify that the follow-up center listed is responsible for the follow-up of the recipient
at the time the cancer was reported.
Recipient center: Verify that the transplant center listed is where the transplant procedure took place.
Donor Related

This section will only display if Yes was selected for Donor Related on post transplant
malignancies listed in the TRF record.
Tumors transmitted from the donor
In most instances the donor does not have a history of cancer and transmission of cancer is
unexpected. This occurrence is usually discovered when multiple recipients of organs from a single
donor develop the same cancer (e.g. Melanoma). It may also occur when the clinical (not histological)
diagnosis of primary brain cancer is made when, in fact, the donor had a metastatic brain cancer from
an occult (concealed from observation) primary site.
Diagnosis date: Enter the date of diagnosis using the standard 8-digit format of MM/DD/YYYY. The
date must fall within the follow-up period and after the transplant date that is displayed. This field is
required.
Immunosuppression: Select the status of immunosuppression from the drop-down box. (List of
Immunosuppression Status codes)
Immunosuppression Stopped
Immunosuppression Reduced
No Immunosuppression Adjustment
Type of Tumor: Select the type from the drop-down list. This field is required. (List of Tumor Type
codes)
Primary to the transplanted organ
Not primary to the transplanted organ
Specify treatment: Select the type of treatment used for this type of tumor by clicking on the checkbox
beside the treatment type.
Surgical resection tumor
Chemotherapy: Select the type of treatment from the drop-down list. If Other, specify is selected,
enter the name of the treatment in the Other specify field. (List of Chemotherapy codes)
CHOP
MACOP-B
Pro-Mace-CytaBOM
M-BACOD
5FU/Gemzar
5FU/Leucovorin
5FU/Leucovorin/CPT-11
5FU/Mitomycin
ACDA
Adriamycin
Anedia
Bleomycin/Cisplatin/Etoposide
Carboplatin/Etoposide
Carboplatin/Taxol/Gemcitabine
Carboplatin/VP-16
Cisplatin/VP-16
Cyclophosphamide
Cyclophosphamide/Prednisone
Cytoxan
Cytoxan/Adriamycin
Cytoxan/Onkovin/Adriamycin/Prednisone
DHAP
Doxorubicin
Doxorubicin/and/Streptozocin
EPOCH

Etoposide/Doxorubicin/Vincristine
Etropralide/Ifosfamide
Eulexin/Lupron
Gemcitabine
Leucovorin/Methotrexate
Lupron
Melphazan/Prednisone
Methotrexate
Mitomycin/Carboplatin
Navelbine/Taxol
Nilandron
Tamoxifen
Taxol/5FU/Carb
Taxol/Adriamycin
Taxol/Carboplatin
Taxol/Carboplatin/Zofran
Topotecan
Vidarabine/Cisplatin/Dexamethasone
Vincristine
Vincristine/Prednisone
VP16
VP16/Etoposide
Carboplatin/Gemcitabine
Other, specify
Radiation
Immunotherapy: Select the type of treatment from the drop-down list. If Other, specify is
selected, enter the name of the treatment in the Other specify field. (List of Immunotherapy codes)
Hormonal Therapy
Interferon Alpha
Prednisone
Rituximab
Other, specify
Other Treatment Specify: Enter the name of any other tumor treatment that was given.
Outcome: Select the outcome from the drop-down list. (List of Outcome codes)
Alive, Free of Tumor
Alive with Tumor
Dead, due to tumor
Dead, other causes
Recurrence of Pretransplant Malignancy
This section will only display if Yes was selected for Recurrence of Pretransplant Malignancy
on post transplant malignancies listed in the TRF record.
The patient has a past history of cancer, and develops the same type of cancer post-transplantation.
This does not apply to basal cell or squamous cell carcinoma of the skin, unless it recurs in the original
site. The patient has a cancer in an explanted (removed) organ (usually liver or maybe kidney), and
later develops a recurrence of the same type of cancer. For example, the patient has a hepatocellular
carcinoma of the native liver (hepatoma), which is resected at the time of transplantation, and develops
a recurrent hepatocellular carcinoma (at any site, at any time).
Type of pre-existing tumor: Select type of pre-existing tumor from the drop-down list. This field is
required. If Other Cancer, Specify is selected, enter the type of pre-existing tumor in the Other
specify field. (List of Pre-existing Tumor codes)

Skin (Squamous, Basal Cell)
Skin - Melanoma
Genitourinary - Bladder
Genitourinary - Uterine Cervix
Genitourinary - Uterine Body (endometrial & choriocarcinoma)
Genitourinary - Vulva
Genitourinary - Ovarian
Genitourinary - Testicular
Genitourinary - Prostate
Genitourinary - Kidney
Gastrointestinal - Stomach
Gastrointestinal - Small Intestine
Gastrointestinal - Carcinoid
Gastrointestinal - Colo-Rectal
Gastrointestinal - Liver/Biliary Tract (incidental time of hepatectomy)
Gastrointestinal - Liver/Biliary tract, not incidental
Gastrointestinal - Pancreas
Thyroid
Breast
Tongue/Mouth,Pharynx
Larynx
Lung (include bronchial)
Leukemia
Lymphoma
Other Cancer, Specify
If skin # of occurrences in follow-up period: Enter the number of skin tumors during the followup period.
If Colo-rectal, Duke's Classification: Select the Duke's classification from the drop-down list. (List
of Duke's Classification codes)
Dukes A - Tumor is limited to the mucosa (Inner lining).
Dukes B - Tumor is limited to the muscularis (muscle wall).
Dukes C - Tumor extends through the bowel wall and has nodal metastasis.
Unknown
If Lymphoma, specify type: Enter the type of lymphoma.
If Leukemia: Select the type of leukemia from the drop-down list. (List of Leukemia codes)
AML (acute myelocytic leukemia)
ALL (acute lymphocytic leukemia)
MDS (myelodysplasia syndrome)
CML (chronic myelocytic leukemia)
CLL (chronic lymphocytic leukemia)
Other
If other cancer, specify: Enter the type of cancer.
Treatments of pre-existing tumor: Indicate the type of treatment used for the pre-existing tumor by
clicking in the checkbox beside the treatment type.
Treatment date: Enter the date of treatment using the standard 8-digit format of MM/DD/YYYY.
This date must be before or equal to the transplant date.
Surgery: If surgery was used, select the type of surgery from the drop-down list. If Other, specify
is selected, enter the type of the surgery in the Other specify field. (List of Surgery codes)
Biopsy
Resection

Limited Resection; debulking
Other, specify
Chemotherapy: Select the type of treatment from the drop-down list. If Other, specify is selected,
enter the name of the treatment in the Other specify field. (List of Chemotherapy codes)
CHOP
MACOP-B
Pro-Mace-CytaBOM
M-BACOD
5FU/Gemzar
5FU/Leucovorin
5FU/Leucovorin/CPT-11
5FU/Mitomycin
ACDA
Adriamycin
Anedia
Bleomycin/Cisplatin/Etoposide
Carboplatin/Etoposide
Carboplatin/Taxol/Gemcitabine
Carboplatin/VP-16
Cisplatin/VP-16
Cyclophosphamide
Cyclophosphamide/Prednisone
Cytoxan
Cytoxan/Adriamycin
Cytoxan/Onkovin/Adriamycin/Prednisone
DHAP
Doxorubicin
Doxorubicin/and/Streptozocin
EPOCH
Etoposide/Doxorubicin/Vincristine
Etropralide/Ifosfamide
Eulexin/Lupron
Gemcitabine
Leucovorin/Methotrexate
Lupron
Melphazan/Prednisone
Methotrexate
Mitomycin/Carboplatin
Navelbine/Taxol
Nilandron
Tamoxifen
Taxol/5FU/Carb
Taxol/Adriamycin
Taxol/Carboplatin
Taxol/Carboplatin/Zofran
Topotecan
Vidarabine/Cisplatin/Dexamethasone
Vincristine
Vincristine/Prednisone
VP16
VP16/Etoposide
Carboplatin/Gemcitabine
Other, specify
Radiation

Other treatment specify: Enter the name of any other tumor treatment.
Date of recurrence (post-tx): Enter the date, using the standard 8-digit format of MM/DD/YYYY, the
cancer recurred. This date must be after the transplant date and fall within the follow-up period that is
displayed. This field is required.
Site(s) affected: Select the site(s) affected by clicking on the checkbox next to the site.
Primary organ
Adjacent organs
Regional lymph nodes
Distant metastases
Immunosuppression: Select the status of the immunosuppression from the drop-down list. (List of
Immunosuppression codes)
Immunosuppression Stopped
Immunosuppression Reduced
No Immunosuppression Adjustment
Treatments of recurrent tumor: Indicate the type of treatment used for the recurrent tumor by clicking
in the checkbox beside the treatment type.
Surgery: If surgery was used, select the type of surgery. If Other, specify is selected, enter the
name of the surgery in the Other specify field. (List of Surgery codes)
Biopsy
Resection
Limited Resection; debulking
Other, specify
Chemotherapy: Select the type of treatment from the drop-down list. If Other, specify is selected,
enter the name of the treatment in the Other specify field. (List of Chemotherapy codes)
CHOP
MACOP-B
Pro-Mace-CytaBOM
M-BACOD
5FU/Gemzar
5FU/Leucovorin
5FU/Leucovorin/CPT-11
5FU/Mitomycin
ACDA
Adriamycin
Anedia
Bleomycin/Cisplatin/Etoposide
Carboplatin/Etoposide
Carboplatin/Taxol/Gemcitabine
Carboplatin/VP-16
Cisplatin/VP-16
Cyclophosphamide
Cyclophosphamide/Prednisone
Cytoxan
Cytoxan/Adriamycin
Cytoxan/Onkovin/Adriamycin/Prednisone
DHAP
Doxorubicin
Doxorubicin/and/Streptozocin
EPOCH
Etoposide/Doxorubicin/Vincristine
Etropralide/Ifosfamide

Eulexin/Lupron
Gemcitabine
Leucovorin/Methotrexate
Lupron
Melphazan/Prednisone
Methotrexate
Mitomycin/Carboplatin
Navelbine/Taxol
Nilandron
Tamoxifen
Taxol/5FU/Carb
Taxol/Adriamycin
Taxol/Carboplatin
Taxol/Carboplatin/Zofran
Topotecan
Vidarabine/Cisplatin/Dexamethasone
Vincristine
Vincristine/Prednisone
VP16
VP16/Etoposide
Carboplatin/Gemcitabine
Other, specify
Radiation
Immunotherapy: Select the type of treatment from the drop-down list. If Other, specify is
selected, enter the name of the treatment in the Other specify field. (List of Immunotherapy codes)
Hormonal Therapy
Interferon Alpha
Prednisone
Rituximab
Other, specify
Other treatment specify: Enter the name of any other tumor treatment.
Outcome: Select the outcome from the drop-down list. (List of Outcome codes)
Alive, Free of Tumor
Alive with Tumor
Dead, due to tumor
Dead, other causes
Post Transplant De Novo Solid Tumor
This section will only display if Yes was selected for Post Transplant De Novo Solid Tumor on
post transplant malignancies listed in the TRF record.
This includes all new malignant tumors except Post Transplant Lymphoproliferative Disease. This
includes all skin cancers, sarcomas, adenocarcinomas, hematological malignancies, and many cancers
with special names. It does not include benign tumors such as nevi, adenomas, or fibromas. Usually,
the description should include the type of cancer (e.g. squamous cell, adenocarcinoma), and the organ
involved.
Select the one or more tumor types: Select all tumor types that apply to the patient by clicking on the
checkbox next to the type. This field is required.
Skin: If squamous cell, basal cell and/or melanoma skin tumors are selected, complete the
following section:
Sites: Select the site(s) affected by clicking on the checkbox next to the site.

Single
Multiple
Site Location: Indicate the area by selecting Lips/Head/Neck, Extremities or Trunk.
Spread: Indicate if the skin malignancy has spread by selecting None, Nodes and/or Other. If
Other is selected, enter the location.
# of occurrences: Enter the number of occurrences during the follow-up period. If the number
of occurrences during the follow-up period is unavailable, select the reason from the status (ST)
drop-down list (Missing, Unknown, N/A, Not Done).
Kaposi's sarcoma: cutaneous
Kaposi's sarcoma: visceral
Brain: Select the specific type of brain tumor from the drop-down list. If Other Specify is selected,
enter the type of tumor in the Other specify field. (List of Brain Tumor codes)
Astrocytoma
Medulloblastoma
Glioblastoma Multiforme
Neuroblastoma
Meningioma, Malignant
Meningioma, Benign
Angioblastoma
Other Specify
Renal carcinoma - Specify Site(s): Enter the site(s) in the space provided.
Carcinoma of vulva, perineum or penis, scrotum
Carcinoma of uterus: Select the type of carcinoma from the drop-down list. (List of Uterine
Carcinoma codes)
Cervix, invasive
Cervix, in situ
Body, Endometrium
Ovarian
Testicular
Esophagus
Stomach
Small intestine
Pancreas
Larynx
Tongue, throat
Thyroid
Bladder
Breast
Prostate
Colo-rectal, Duke's Classification: Select the Duke's classification from the drop-down list. (List
of Duke's Classification codes)
Dukes A - Tumor is limited to the mucosa (inner lining)
Dukes B - Tumor is limited to the muscularis (muscle wall)

Dukes C - Tumor extends through the bowel wall and has nodal metastasis.
Unknown
Primary Hepatic Tumor: Select the type of tumor from the drop-down list. If Other is selected,
specify the name in the Other specify field. (List of Hepatic Tumor codes)
Hepatocellular Carcinoma
Cholangiocarcinoma
Epithelioid-Hemangio-Endothelioma
Hepatoblastoma
Hemangiosarcoma
Other
Metastatic Liver Tumor - Specify Original Site: Select the original site from the drop-down list. If
Other is selected, enter the site in the Other specify field. (List of Metastatic Liver Tumor codes)
Stomach Adenocarcinoma
Colon Adenocarrcinoma
Breast Carcinoma
Pancreas Carcinoma
Bronchial Carcinoma
Carcinoid (Neuroendocrine)
Other
Lung (include bronchial): Indicate either Small Cell or Non-small Cell.
Leukemia: Select the leukemia type from the drop-down list. (List of Leukemia codes)
AML (acute myelocytic leukemia)
ALL (acute lymphocytic leukemia)
MDS (myelodysplasia syndrome)
CML (chronic myelocytic leukemia)
CLL (chronic lymphocytic leukemia)
Other
Sarcomas (excluding Kaposi's)
Site(s): Enter the site(s).
Specify type: Select the type of sarcoma from the drop-down list. If Other is selected, enter
the type in the Other specify field. (List of Sarcoma codes)
Fibrosarcoma
Liposarcoma
Leiomyosarcoma
Rhabdomyosarcoma
Angiosarcoma
Malignant Hemangiopericytoma
Neurofibrosarcoma
Neuroblastoma
Chondrosarcoma
Osteosarcoma
Ewing's sarcoma
Other
If Other Cancers is selected, enter the Site(s) and the type of cancer in the spaces provided
(this field is required).
Primary Unknown: Select if the type of tumor is unknown.
Outcome: Select the outcome from the drop-down list. (List of Outcome codes)

Alive, Free of Tumor
Alive with Tumor
Dead, due to tumor
Dead, other causes
The Treatment Information must be completed when a type of tumor is selected from the Post
Transplant De Novo Solid Tumor section of the record. All applicable fields must be completed.
Site(s) affected: Select affected site(s).
Primary organ
Adjacent organs
Regional lymph nodes
Distant metastases
Diagnosis date: Enter the date using the standard 8-digit format of MM/DD/YYYY. The date must fall
within the follow-up period and after the transplant date that is displayed.
Immunosuppression: Select the status of immunosuppression from the drop-down box. (List of
Immunosuppression codes)
Immunosuppression Stopped
Immunosuppression Reduced
No Immunosuppression Adjustment
Specify treatment: Select the type of treatment used for this type of tumor by clicking on the checkbox
beside the treatment type.
Surgery: If surgery was used, select the type of surgery. If Other specify is selected, enter the
type of the surgery in the space provided (this field is required). (List of Surgery codes)
Biopsy
Resection
Limited Resection; debulking
Other, specify
Cryotherapy (skin cancer): Indicate if cryotherapy was used.
Chemotherapy: Select the type of treatment from the drop-down list. If Other, specify is selected,
enter the name of the treatment in the Other specify field (this field is required). (List of
Chemotherapy codes)
CHOP
MACOP-B
Pro-Mace-CytaBOM
M-BACOD
5FU/Gemzar
5FU/Leucovorin
5FU/Leucovorin/CPT-11
5FU/Mitomycin
ACDA
Adriamycin
Anedia
Bleomycin/Cisplatin/Etoposide
Carboplatin/Etoposide
Carboplatin/Taxol/Gemcitabine
Carboplatin/VP-16
Cisplatin/VP-16
Cyclophosphamide
Cyclophosphamide/Prednisone
Cytoxan
Cytoxan/Adriamycin

Cytoxan/Onkovin/Adriamycin/Prednisone
DHAP
Doxorubicin
Doxorubicin/and/Streptozocin
EPOCH
Etoposide/Doxorubicin/Vincristine
Etropralide/Ifosfamide
Eulexin/Lupron
Gemcitabine
Leucovorin/Methotrexate
Lupron
Melphazan/Prednisone
Methotrexate
Mitomycin/Carboplatin
Navelbine/Taxol
Nilandron
Tamoxifen
Taxol/5FU/Carb
Taxol/Adriamycin
Taxol/Carboplatin
Taxol/Carboplatin/Zofran
Topotecan
Vidarabine/Cisplatin/Dexamethasone
Vincristine
Vincristine/Prednisone
VP16
VP16/Etoposide
Carboplatin/Gemcitabine
Other, specify
Immunotherapy: Select the type of treatment from the drop-down list. If Other, specify is
selected, enter the name of the treatment in the Other specify field (this field is required). (List of
Immunotherapy codes)
Hormonal Therapy
Interferon Alpha
Prednisone
Rituximab
Other, specify
Radiation: Indicate if radiation was used.
Other treatment: Enter the name of any other tumor treatment.
Best treatment response: Select the best treatment response.
Progressive Disease (PD)
Partial Response (PR)
No Treatment (NT)
Too Early in Treatment to Evaluate (TE)
Stable Disease (SD)
Complete Response (CR)
Post Transplant Lymphoproliferative Disease and Lymphoma
This section will only display if Yes was selected for Post TX Lymphoproliferative Disease and
Lymphoma on post transplant malignancies listed in the TRF record.

Lymphoid growths that occur in organ transplant patients, in which evidence of Epstein-Barr virus (EBV)
can be demonstrated; a family of lesions that straddle the border between infection and neoplasia
(tumors). The spectrum runs from infectious mononucleosis to clonal proliferation of lymphoid cells to
gross tumor formation and malignancy. PTLDs must be distinguished from sporadic lymphomas or nonEBV-associated lymphadenopathies, which may also be seen in the transplant population.
Diagnosis date: Enter the date using the standard 8-digit format of MM/DD/YYYY. The date must fall
within the follow-up period and after the transplant. This field is required.
Pathology: Select the pathology of the disease from the drop-down list. This field is required. If Other,
Specify is selected, enter the disease in the Other Specify field. (List of Pathology codes)
Polymorphic Hyperplasia
Polymorphic PTLD(lymphoma)
Monomorphic PTLD(lymphoma)
Multiple Myeloma, Plasmacytoma
Hodgkin's Disease
Other, Specify
Clonality: Select the clonality of the disease from the drop-down list. (List of Clonality codes)
Monoclonal
Polyclonal
Oligoclonal
Unknown
Predominant cell type: Select the predominant cell type from the drop-down list. If Other, specify is
selected, enter the name in the Other specify field. (List of Predominant Cell Type codes)
B Cell
T Cell
Other Specify
Unknown
Epstein-Barr virus (EBV) status of tumor: Select the result by clicking on the circle next to the result.
EBV positive
EBV negative
Unknown
Anatomy: Select the site type by clicking on the circle next to the anatomy site.
Single Site
Multiple Sites
Lymph nodes: If lymph nodes are affected, select Yes. If not, select No.
If extranodal sites are applicable (sites outside of the lymph nodes), select the site(s) by clicking on
the checkbox next to the type.
Stomach
Small Intestine
Colon
Allograft
Lung
Bone Marrow
CNS
Liver
Other specify: Enter any other sites.
Ann ArborStage: Ann Arbor is a classification of Non-Hodgkin's Lymphomas. Indicate if the Ann Arbor
stage is I, II, III, or IV. If unknown, select Unknown

Stage I - Involvement of a single lymph node group or a single extralymphatic organ or site.
Stage II - Involvement of two or more lymph node regions on the same side of diaphragm alone or
with localized involvement of an extralymphatic organ or site (on the same side of the diaphragm).
Stage III- Involvement of lymph node regions on both sides of the diaphragm alone or with
localized involvement of an extralymphatic organ or site, or spleen, or both (on both sides of the
diaphragm).
Stage IV - Diffuse or disseminated involvement of one or more extralymphatic organs with or
without associated lymph node involvement.
PTLD Treatment:
Abbreviations:
PD - Progressive Disease
SD -Stable Disease
PR - Partial Response
CR - Complete Response
TE - Too Early in Treatment to Evaluate
1. Reduction/Cessation of immunosuppression: If immunosuppression has been reduced or
discontinued, select Yes. If the immunosuppression remains unchanged, select No.
If yes, Best response: Select the best response to treatment by clicking on the checkbox
next to the abbreviation.
PD
SD
PR
CR
TE
2.

Surgery Type: Select the type of surgery from the drop-down list. If Other, specify is
selected, enter the type in the Other specify field. (List of Surgery Type codes)
Biopsy
Resection
Limited Resection; debulking
No Surgery
Other, specify
If yes, Best response: Select the best response to treatment by clicking on the checkbox
next to the abbreviation.
PD
SD
PR
CR
TE

3.

Anti-viral therapy: If anti-viral therapy was used, select Yes. If not, select No. (List of Antiviral Therapy codes)
If yes, select Drug 1 from the drop-down list. If Other, specify is selected, enter the drug in
the Other specify field. If a second drug was used, select the drug from the Drug 2 dropdown list. If a second drug was not used, leave the Drug 2 field blank.
Acyclovir
Cytogam
Cytovene
Foscarnet
Ganciclovir

IVIG
Valtrex
Other, specify
Best response: Select the best response to treatment by clicking on the checkbox.
PD
SD
PR
CR
TE
4. Chemotherapy: If chemotherapy was used, select Yes. If not, select No.
If yes, select Drug/Regimen 1 from the drop-down list. If Other, specify is selected, enter
the drug in the Other specify field. If a second drug was used, select the drug from the
Drug/Regimen 2 from the drop-down list. If a second drug was not used, leave the
Drug/Regimen 2 field blank. (List of Chemotherapy codes)
CHOP
MACOP-B
Pro-Mace-CytaBOM
M-BACOD
5FU/Gemzar
5FU/Leucovorin
5FU/Leucovorin/CPT-11
5FU/Mitomycin
ACDA
Adriamycin
Anedia
Bleomycin/Cisplatin/Etoposide
Carboplatin/Etoposide
Carboplatin/Taxol/Gemcitabine
Carboplatin/VP-16
Cisplatin/VP-16
Cyclophosphamide
Cyclophosphamide/Prednisone
Cytoxan
Cytoxan/Adriamycin
Cytoxan/Onkovin/Adriamycin/Prednisone
DHAP
Doxorubicin
Doxorubicin/and/Streptozocin
EPOCH
Etoposide/Doxorubicin/Vincristine
Etropralide/Ifosfamide
Eulexin/Lupron
Gemcitabine
Leucovorin/Methotrexate
Lupron
Melphazan/Prednisone
Methotrexate
Mitomycin/Carboplatin
Navelbine/Taxol
Nilandron
Tamoxifen
Taxol/5FU/Carb
Taxol/Adriamycin

Taxol/Carboplatin
Taxol/Carboplatin/Zofran
Topotecan
Vidarabine/Cisplatin/Dexamethasone
Vincristine
Vincristine/Prednisone
VP16
VP16/Etoposide
Carboplatin/Gemcitabine
Other, specify
If yes, Best response: Select the best response to treatment by clicking on the checkbox.
PD
SD
PR
CR
TE
5. Radiation Therapy: If radiation therapy was used, select Yes. If not, select No.
If yes, Best response: Select the best response to treatment by clicking on the checkbox
next to the abbreviation.
PD
SD
PR
CR
TE
6. Immunotherapy: If chemotherapy was used, select Yes. If not, select No.
If Yes is selected, select the type of immunotherapy from the drop-down list. If Other,
specify is selected, enter the name of the treatment in the Other, specify field. (List of
Immunotherapy codes)
Hormonal Therapy
Interferon Alpha
Prednisone
Rituximab
Other, specify
Best response: Select the best response to treatment by clicking on the checkbox.
PD
SD
PR
CR
TE