Form Registrasi Kanker RS

i Kanker di Indonesia No Registrasi

 Auto Number 

Epid. No. !enis Keamin

0. Unknown 1. Laki-laki 2. Perempuan

Agama 0. Unknown

. Prote!tan

1. "!lam

#. $indu

2. Katolik

%. Bud&a '. Lain-lain

Um$r pada k$n%$ngan pertama" ta#$n Stat$s perka&inan 0. Unknown

2. *anda + Duda

1. ,enika&

. Laang

S$k$" daam da'tar *rade ry !ite !tati) !ite rtain

atology a!ta!i! ary tology

1. 3ell Di44erentiated

5. Po!iti6e B-)ell

2. ,oderately Di44erentiated . Poorly Di44erentiated #. Undi44erentiated %. Po!iti6e :-)ell

7. Null ell 9. NK Natural Killer/ ell '. Not Appli)able 10. Dedi44erentiated

-ini,a etent o' disease +e'ore treatment 1. "n!itu 2. Lo)ali?ed . Dire)t <=ten!ion #. egional Lymp& node "n6ol6ement

%. Dire)t <=ten!ion wit& regional lymp& node in6ol6ement 5. Di!tant meta!ta!e! 9. Not appli)able '. Unknown

Laterait( 1. ig&t

%. ,ultiple