1. Name of hospital | 14. Date of diagnosis |
2. Patient’s identification (ID) number | 15. Circumstance of cancer detection |
3. Name (Hiragana) | 16. Extension of disease (clinical) |
4. Name (Kanji) | 17. Extension of disease (pathological) |
5. Sex | 18. Surgery of primary site |
6. Birth date | 19. Laparo/thoracoscopic surgery |
7. Address of patients | 20. Endoscopic surgery |
8. Laterality | 21. Result of surgery |
9. Diagnosis (primary site) | 22. Radiation therapy |
10. Diagnosis (morphology) | 23. Chemotherapy |
11. Diagnosis facility | 24. Endocrinotherapy |
12. Treatment facility | 25. Other treatment |
13. Basis of diagnosis | 26. Date of death |