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					DEMO_ID CANCER_ID Living or Deceased?              Sex
                                        Age (at presentation) Date of Dx    Date First Seen   Pre-Op Radiation?
   3431      3948         Deceased         76          M          6/25/81       7/8/1981      No
   3527      3981         Deceased         68          M          2/11/97       3/6/1997      Yes
   5381      4707         Deceased         63          M           8/2/95      8/17/1995      No
   6317      5044         Deceased         80          F          9/22/00      10/5/2000      No
   3584      4000         Deceased         61          M          2/19/93      2/25/1993      No - pt declined
   5835      4876         Deceased         68          M          1/14/98       2/5/1998      No
   4240      4253         Deceased         72          M          3/24/86       4/3/1986      No
   4000      4147         Deceased         65          M         11/17/82     11/23/1982      No
   3888      4102         Deceased         67          M           1/7/81       1/7/1981      None recorded
   6356      5065         Deceased         65          M         11/29/00       1/4/2001      Yes
   4340      4292         Deceased         68          M           1/5/87      1/29/1987      No
   6619      5200         Deceased         85          M          9/12/02     11/20/2002      No
   3983      4141         Deceased         65          M           8/4/82      8/19/1982      No
   3406      3940         Deceased         64          M          4/11/85      4/18/1985      No
   6803      5378         Deceased         65          M           4/8/04       4/8/2004      No
   3766      4059         Deceased         55          M           6/1/93      6/17/1993      Yes - protocol 8825
   3984      4142         Deceased         67          F          8/16/88      8/25/1988      Yes
   5621      4790         Deceased         75          M         11/21/96     12/12/1996      Yes
   4713      4466         Deceased         53          M          11/7/90      12/6/1990      Yes
   3802      4073         Deceased         78          F           8/6/79      8/20/1979      No
   4356      4303         Deceased         76          M          2/27/87      3/19/1987      No
   3499      3971         Deceased         39          F          5/20/99      5/25/1999      Yes protocol 9740
   5047      4594         Deceased         67          M          8/12/93      8/26/1993      No

                                        67.04348
                                              67
                                        9.484442


    4075       4183       Deceased         64         M           2/1/84        2/6/1984      No
    4889       4539       Deceased         60         M          6/11/92        7/1/1992      No
    5722       4832        Living          62         M          5/31/01       6/21/2001      Yes
    6053       4957       Deceased         81         M          2/10/99       4/19/1999      Yes
    5944       4915       Deceased         69         M          1/12/00       1/28/2000      No
    3689       4030       Deceased         84         M           6/1/88        6/9/1988      No
6138   4985   Deceased   77   M   9/16/99   10/28/1999   No
Dates of Pre-Op RT Amount of Pre-Op Radiation             Pre-Op Chemo? Dates of Pre-Op Chemo     Amount of Pre-Op Chemo
N/A                     none                                      No         N/A                  none
?-4/4/97                ?                                         Yes        ?-3/31/97            ?
N/A                     none                                      No         N/A                  None
N/A                     none                                      no         N/A                  none
N/A                     none                                      no         N/A                  none
N/A                     none                                      no         N/A                  none
N/A                     none                                                 1981-1982
                                                     Yes - for lymphoma in 1982                   ?
N/A                     None                                      No         N/A                  none
N/A                     none                                                 N/A
                                                     None recorded - pull records                 none
                        45
?1/20-? - Not in Careweb Gy                              Yes - Cisplatin, 5FUapprox: 1/17-2/21?   ??
N/A                     none                                      No         N/A                  none
N/A                     none                                      No         N/A                  none
N/A                     none                                      No         N/A                  none
N/A                     none                                      No         N/A                  None
N/A                     none                                      No         N/A                  none
?- 7/30/93              Need records                              Yes        7/11/93-7/28/93      His chemotherapy consisted of cis-platinum, 20 mg/m2, for a to
Need records            Need records                              Yes        Need                 Need records
1/6/97 - 1/24/97        45 Gy (1.5 Gy fractions BID 30 fractions over 18 days12/30/96 - 1/20/97
                                                                  Yes                             cisplatin (75mg/m2=136.5mg total one dose on 12/30/96) and T
? - protocol 8825       Need records                              Yes        1/13/91-2/8/91       Need records
N/A                     none                                      No         N/A                  none
N/A                     None                                      No         N/A                  none
                        ?
? (not in careweb, rad onc have records?)                         Yes        6/99-7/99            5-FU, cisplatin, 1 dose of Taxol
N/A                     none                                      No         N/A                  none




N/A                   none                                   No        N/A                        none
N/A                   none                                   No        N/A                        none
7/23/2001 - 8/13/01   45 Gy total in 1.5 Gy fractions BID   Yes        7/23/2001 - 8/13/01        5 FU for 21 days, cisplatin at beginning and end of radiation
2/99-4/99             400-500 cGy - at OSH per MDI note here No        N/A                        none
N/A                   none                                   No        N/A                        none
N/A                   none                                   No        N/A                        none
N/A   none   no   N/A   none
Date of Operation                  Gross            Pathologic Diagnosis
                    Operation Details Tumor Margin (cm)                            Stage of Tumor                     Date of Death
                                                                                                           Anastomotic Leak?               Cause of Death
     7/15/1981                     Not recorded Poorly Diff adeno of cardia invading(T3N0M0)
                                                                                        III stomach
                    5 cm tumor, no obvious mets, concern about venous cogestion oftransmurally into No                       7/1/83        gastric
                                                                                                               periesophageal and distal Cancer margins
     4/29/1997                     Not esoph fused to aorta over adeon Ca arising (T4N1M0)                     No          11/26/97        Mets, pneumonia
                    No intra abd mets, recorded residual invasive5-6 cm length III in Barretts, invades submucosa and is + at distal margin, adventitial deep margins
     8/22/1995                     Not of Barrett's with 7.5 cm long by 4 cm wide malig into adventitia,Nobelow SCJ), of adeno ca in submucosal gastric margin, perie
                    9cm long segmentrecorded Barrett's with HGD, invasive adeno (T3N1M0)                        few          5/9/98        metestatic external
                                                                                        III ca ulcer within (just micro foci nodularity palpable on adeno caaspect of esoph
    10/26/2000                     Not EGJ w/ cm lesser curvature/L gastric LNs all resected. Several fibrotic nodules largest 8 adventitia and focally to Opened sp
                                                                                        III extending          No            7/7/04          mm, biopsied->
                    5 cm hard mass atrecorded1 poorly diff 4.5 cm adeno CA of GEJ(T3N1M0) thru muscularis propria into outerPresumed mets benign.deep margin
      3/9/1993                     Not recorded Invasive adeno Ca arising in L and(T3N1M0)
                                                                                        III R paraesophageal nodes, 5 cm long
                                                                                                               No             extending into mass lung
                                                                                                                                           Mets to at EGJ, periesoph Barretts
                    5x6 cm celiac nodal mass resected with specimin, 2x2 cmBarrett's w/ high grade dysplasia and8/1/93 polipoid perigastric andno obvious fat. Tumo
     2/14/1998                     Not recorded Adeno during endoscopic US, transmural mass
                                                                                        III through muscle wall- can't read 8/24/98        Mets, malignant effusion
                    Emergency operation for perforationCa arising at GEJ extending(T3N1M0) with No to serosal fat and inked margin. Tumor present at distal gas
     4/18/1986                          3 cm        Transmurally invasive lesser curv. (T3N1M0) distal staple line, 8/10 perigastric and celiac nodes esoph
                                                                                        extending to           No           5/21/87        Mets
                    5cm long tumor straddling EGJ and extending onto adeno Ca III + small celiac node, palliative resection involved distal 2 cm of+ for mets
     12/3/1982                     Not recorded Adeno adherant to periaortic tissue, resected as thruNo possible, NOT curative Soft tissue, tumor in lymphatics at
                                                                                        III (T3N1M0)           wall       7/24/1983        Presumed mets
                    positive L gastric node, tumor mass Ca arrising in distal esophagus infiltrating much as into adjacent periesoph.resection
     1/13/1981                     Not recorded Extensive adeno Ca subcarinal nodessurgical
                                                                                        III at                 No           7/10/81
                    Full thickness penetration with mets to celiac and @EGJ, tumor (T3N2M0) margin, 14/18 nodes +, + subcarinal node       Mets
     3/16/2001                     Not recorded Transmurally invasive adeno Ca with extensive                  No          12/23/01        Mets
                    1.5 cm hard EGJ node, nothing else, indurated distal esoph III (T3N1M0) mucin production, deep and gastric margins +, cervical margin neg, 5
     2/20/1987                          3cm          1-2 cm above EGJ, stomach tubed, 3cm margin L gastric and paraesoph nodes looked + nodes +
                                                                                          CA arising from stomach, distal margin +, 8/9 Mets
                    8cm ulcer, cardia, only aboutTransmurally invasive signet ringIII (T3N2M0)                 No            3/7/88        perigastric
    12/10/2002                          4 cm        Adeno Ca adhesions, bleeeding,III (T3N1M0)
                                                                                          dysplasia, transmurally invasive3/31/03 margin, extensive angiolymphatic invasion
                                                                                                               No             to deep       of esophagus felt
                    Severe intraabdominal and mediastinal arising in Barrett's with partial sternal split to control, induration in wallPresumed mets to within 1.5cm of
     8/25/1982                        1-1.5 cm      Infiltrative adeno Ca arising in Barrett's esophagus and extending1/24/83 muscular wall to adventitia and to to pyloru
                                                                                        III (T3N2M0)           No            through       ? Flu
                    Intramural extension of EGJ tumor along lesser curve to within 4-5 cm of pylorus, stomach tubed to about 2.5-3 cm down to just proximal gastric m
     5/20/1985                     Not sq col junction to well differentiated along ca (T3N1M0)GEJ infiltrating entire (in Florida)Presumed mets
                                                                                        III arising at         No 12/?/1985
                    5cm long tumor at recorded Mod with grossly + nodes adeno L gastric artery resected en bloc wall thickness, focal area of Barrett's at EGJ, som
      4/8/2004                           of stricture at St. Mary Hospital, presented III (T3N1Mx) pain, CT showeddeep margin -, prox marginmets to U of M, barium no
                    Had esoph dilation5 cm                                               to ER w/ abd          No           1/21/05        Presumed -, gastric margin +, 4/8 s
                                                    Invasive adeno Ca arising in Barrett's extending into adventitia, pneumomediastium, transferred
     8/27/1993                     Not recorded Signet ring arising at gastric cardia (T3N0M0)to distalNo
                    Uncomplicated THE                                                   III extended                        8/15/94        Gastric Recurrance
                                                                                                               staple line, 5/5 nodes +, celiac node +
     11/2/1988                     Not recorded Transmurally invasive meds, moderate esoph to distal margin of8/18/89 and Presumed
                                                                                       IIB (T3N0M0)            No             stomach
                    Adhesions in upper abd and lower mediastinum, nosignet ring CA extendingthickening, no transmural invasion grossly metsto adventitia
     2/17/1997                         3.5 cm        EGJ, ring gastrin mucinous adeno(T4N0M0)
                                                                                        III Ca with transmural invasion 12/24/97 mets
                                                                                                              Yes           no obvious      Tumor extends
                    8.5 cm long tumor straddling Signetgrossly intramural, stomach divided 3.5 cm distal to tumor,to omental fat. Presumed mets to deep margin and
      3/5/1991                     Not recorded Transmurally invasive adeno Ca III (T3N1M0) gastric margin axis tissue, + Presumed mets
                                                                                        into adventitia,       No           3/5 nodes
                    Edema of upper stomach and mediastinum, induration of gastroepiploic ligament and celiac +, 7/25/92 resected with specimin, no gross tumor o
     8/29/1979      None recorded                                                       III (T3N2M0)
                                   Not recorded Ca in subserosa and serosa, + distal margin                    No           8/18/81        Heart Disease - no residual cancer a
      5/6/1987                      cat cardia felt 3-4 cm, localized with transmural invasion, no
                                                                                       IIA
                    External mass Not recorded Microscopic tumor at gastric margin(T3N0M0) obvious mets        No           5/16/91        Progressive Cachexia
      8/2/1999                  3 cm distal to tumorResidual adeno Ca predominantly within submucosalNo
                                                                                      IIIA (T3N1M0)             lymphatic channels, present nodes extending the prox 2-3 lym
                                                                                                                            5/30/00         7 at distal gastric margin, gastric
                    1-2 cm long tumor involving cardia, 2cm above and 2cm below GEJ, hard nodes along high lesser curvatrue.Diffuse Mets to spine and pelvis cm o
     9/10/1993                     Not recorded Mucinous adeno Ca, + signet up III (T3N1M0) inferior pulmonary vein, very narrow gastric tube, clinically + nodes
                                                                                         into chest near       No
                    Tumor involved much of gastric cardia and extended 6 cm ring cells, gastric margin +, all nodes +       2/12/95        Stroke



                                                                                                                                                               Standard Dev


      3/7/1984                     Not recorded Transmurally infiltrative metastatic 3mm nodules at pyloroduodenal junction
                                                                                IVb (T3N2M1b)            No            margin,      Mets
                    5.5 cm EGJ Ca through lesser curve into fat, several adeno Ca of gastric cardia involving distal7/13/84 no Barrett's mucosa, 6/13 parigastric and
     8/18/1992                     Not recorded Transmurally invasive adeno repair, disease
                                                                                  arising in Barrett's extends to adventitia, mediastinal pleura +, 8/8 mediastinal pleura
                                                                                                         No            1/2/93       Carcinomatosis
                    No intra abd tumor, marked adhesions from chole and HH Ca IV (T4N1M1)at hiatus and lower esophagus, marked thickening of nodes +, cervical
     9/10/2001                     Not recorded Adeno Ca with extensive treatment (T3N1M0)
                                                                                  III effect, arising in Yes            N/A
                    only cardia of stomach appeared to be involved, so standard THE was completedGEJ, invading to adventitia,N/A     positive gastric margin, neg cervical
      5/7/1999                         4 cm     Moderatly                          adeno CA frm
                    Stomach stapled 4cm from gross tumorto poorly differentiatedIV (T1N1M1) GEJYes                     muscularis propria. Prox and distal margins +, dee
                                                                                                         invading into10/8/99       ? Likely recurrent disease
      4/3/2000                         2 cm     omental bx +, greater curve bx +, tumor arise from GEJ, stomach and gastric margin +, gastrotomy in imentum, pa
                                                                                 IV (T3N0M1)             No           8/18/00       Mets
                    Extensive 7-8cm cardia mass invading gastroepiploic omentum (resected with tumor),adventitialtubed, scattered serosal nodumes site +, 7 nodes
     7/15/1988                        2-3 cm    Transmurally invasive gastric adeno ca with spread No
                                                                                  III (T3N1M0)
                    Huge cardia tumor primarily on gastric side, stomach tube with 2-3 cm margin to esophagus7/22/88                Sudden, ? Cause
                                                                                                                       and distal margin of gastric resection, cervical mar
12/10/1999                 Not recorded Transmurally invasive extensively infiltrating adeno Ca extending into allnode, bulky esoph Ca (9cm) with extensive i
                                                                          III (T3N1M0)        No          celiac         Cancer
             Huge, lower 1/3 and involvement of the lesser curve, 1-2 cm hard lesser curve nodes, 3x4 cm 6/18/00surgical margins, extensive lymphatic, invas
Time from THE to death           Days from THE to Death         Adjuvant Radiation Amount of Radiation Location of Radiation
                                             716                No                       N/A                    N/A
      6 months, 27 days                      211                Yes                      18 Gy (63 Gy total)    mediastinum and stomach
      32 months, 18 days                     991                                         ? NE after d/c
                                                                ? Possibly, pt returned to Need records         ?
      44 months, 11 days                    1,350               Yes                      5,000 to 5500 cGy      Tumor bed and mediastinum
      4 months, 22 days                      145                No                       N/A                    N/A
       6 months 10 days                      191                Yes                      No records availible   No records availible
      13 months, 3 days                      398                No                       N/A                    N/A
       6 months 21 days                      233                No                       N/A                    N/A
      5 months, 27 days                      180                Yes, cobalt              ?                      ?
       9 months 7 days                       282                Yes                      18 Gy (63 Gy total)    Gastric margin and tumor bed
      12 months, 15 days                     380                No                       N/A                    N/A
      3 months, 21 days                      111                No                       N/A                    N/A
       5 months 0 days                       152                No                       N/A                    N/A
       Approx. 7 months                      195                                         N/A
                                                                ? Returned to Florida after D/C                 N/A
      9 months, 13 days                      288                Yes                                             Mediastinum + margin
                                                                                         4500 cGy to mediastinum (1.8 cGy/fraction, 5 fractions/week for 5 weeks), 5400
      11 months 19 days                      354                No                       N/A                    N/A
       9 months 16 days                      289                No                       N/A                    N/A
       10 months 7 days                      310                Yes                      18 Gy (63 Gy total)    Mediastinum
      16 months, 20 days                     508                No                       N/A                    N/A
      23 months, 20 days                     720                No                       N/A                    N/A
      48 months 10 days                     1,474                                        ?
                                                                No, got RT for recurrance 4 years later         Mediastinum?
       9 months 28 days                      302                Yes (for mets)           30Gy                   Lower lumbar spine and sacrum (palliation)
       17 months 2 days                      520                                         N/A
                                                                ? No (Referred back to Idaho)                   N/A

               Mean Survival:                             448
             Median Survival:                             302
Standard Deviation Population:                            364


       4 months 6 days                      128                 ? Yes Need OSH records
      4 months, 15 days                     137                 Yes                                            Proximal and Distal palliation
                                                                                      4600 cGy as adjuvant then 3000cGy later for surgical margins (4600 cGy) and L
            N/A                                                                       N/A                      N/A
                                                                No - had completion gastrectomy on 9/30/01 for necrosis, colon interposition 9/23/03
       5 months 0 days                      153                 None documented hereN/A                        N/A
      4 months, 15 days                     137                 No                    N/A                      N/A
           7 days                            7                  No                    N/A                      N/A
6 months, 8 days   191   No   N/A   N/A
              Dates of Radiation Treatment       Onc Doc             Adjuvant Chemo                      Adjuvant Chemo Dates
                              N/A                                    Yes, empiric                                        ?
                           ?-6/19/97             Hayman/Urba         Yes - one cycle of 5FU and cisplatin          ? - 10/23/97
                               ?                                     ? returned to Nebraska after D/C
                                                 Verdirame (in Nebraska)                                                 ?
                   ? Need outside records                            Rad/Onc, Battle oncologist
                                                 Jin-Chul Kim, M.D., Referred to local Creek Health System, 300 North Ave., Battle
                                                                                                                         ?
                              N/A                N/A                                                               records
                                                                     Referred to Heme Onc for chemo for mets, noNeed records
                     No records availible        ?                   No                                                 N/A
                              N/A                N/A                 Yes, reportedly on chemo for mets at time of death ?
                              N/A                Natale              Yes - 5FU, adriamycin                           1/82-5/82
                           2/12/81-?                                  St., FU and ? (can't read)
                                                 Dr. Ramsdell? FrontYes, Traverse City, MI                           2/12/81-?
                        Mid May 2001             Urba, Hayman        No                                                 N/A
                              N/A                N/A                 No                                                 N/A
                              N/A                N/A                 No                                                 N/A
                              N/A                N/A                 No -pt denied                                      N/A
                              N/A                ?                   ? Returned to Florida after D/C                    N/A
                                                 Dr. June boost       - Providence), Dr. Michael Kraut (chemo - U 6/7/04-8/25/04
3/04 - 7/9/04 for mediastinum, 7/12/04-7/16/04 for margin Chan (RadYes - cisplatin, 5-FU                          of M)
                              N/A                Urba                No                                                 N/A
                              N/A                N/A                 No                                                 N/A
                            Apr-97               Hayman              ? - was to see oncologist at Beaumont               ?
                              N/A                Natale?             Yes                                           10/17/91 - ?
                              N/A                                    Yes
                                                 Oncologist in Midland                                             4/80 - 12/80
                       5/10/90 - 6/1/90          ?                   No                                                 N/A
                        4/24/00-5/4/00           Hayman, Urba        Yes, 5FU and cisplatin                    10/14/99 - 11/24/99
                              N/A                N/A                 ? No                                               N/A




                                                ?                   Yes - 5FU, adryomycin                          5/11/84-?
                      9/30/92-11/8/92           Robert F. Todd, M.D. (onc) doses of 5 FU, 2 doses of cisplatin
                                                                    Yes - 5                                         Nov-92
                            N/A                                     No
                                                Wordern (chemo), Hayman (rad)                                         N/A
                            N/A                 ? Dr. Maurice Belkin, M.D., 28730 Harper, St. Clair Shores, MI 48081 N/A
                                                                    No
                            N/A                 Urba                No not here                                       N/A
                            N/A                 N/A                 No                                                N/A
N/A                     No, patient declined                             N/A
      Carol R. Rapson, MD, 1200 E. Michigan Ave. Ste 555, Lansing, MI 48912
Local Tumor recurrence?       Time from surgery to recurrence   Time from radiation to recurrence          Metastatic Disease?
No?                                                             N/A                                           Yes presumably
No                                                                                                                    Yes
No? Requested records from Nebraska            N/A              ?                                                     Yes
No                                                                                                                    Yes
No?                                            N/A              N/A                                                   Yes
No                                             N/A              N/A                                                   Yes
No                                             N/A              N/A                                                   Yes
No                                             N/A              N/A                                           Yes presumably
Yes, obstruction on scope on 7/6/81          6 months           3 months                                              Yes
                                        6 months 25 days
Yes, symptomatic, suspucious barium swallow                                                                           Yes
Yes - 12/8/87                           9 months 18 days        N/A                                                   Yes
No                                             N/A              N/A                                                   Yes
No                                             N/A              N/A                                                   No?
No?                                            N/A              N/A                                                   Yes
No                                             N/A              N/A                                                   Yes
Yes                                         11 months           N/A                                                   No?
No                                             N/A              N/A                                           Yes presumably
No                                             N/A              N/A                                                   Yes
No                                             N/A              N/A                                                   Yes
No                                             N/A              N/A                                                    No
yes                                  2 yrs, 9 months (2/7/90)                                                          No
                                                                None, got radiation for recurrance, pt refused initial adjuvant RT
No                                             N/A              N/A                                                   Yes
No?                                            N/A              N/A                                                  ? No




No                                         N/A                  N/A                                                 Yes
Not all resected                           N/A                  N/A                                                 Yes
No                                         N/A                  N/A                                                 No
Yes, neck recurrence 7/6/99              2 months               N/A                                           Yes presumably
No                                         N/A                  N/A                                                 Yes
No                                         N/A                  N/A                                                 No
Not all resected   N/A   Yes
Location of Metastasis      Second Primary Tumor?        FLIC Score        Patient Satisfied Subjectively?

Neck node + FNA                          ?No
R hip, R orbital region                  No
Lungs                                    No                                                             Mild sticking, no regurg, mild cramps and diarrhea, happy 2/28
Lungs, supraclavicular node              No                                                            No dysphagia, or regurg, no dumping, happy with ability to eat 7/
? Lungs                                  No
?                                        No                                                            appetite improved, mild cervical dysphagia, intermittent dilation 6/
N/A                                      No
? lungs                                  No
Lungs, liver, peritoneim                 No                   stricture of distal stomach due to infiltrating tumor, had DHT placed, refused J-tube, on TPN and chemo,
?                                        No                                                                anastomotic stricture with gross tumor, feeding tube inserted 12/
?                                        No                                                                  No dysphagia, regurg, or dumping, anorexic, on Megase 3/20/
?                                        No                                                       eating regular diet, no appetitie, no regurg, no dysphagia, some bloatin
?                                        No                                                             appetite good, regular diet, no dysphagia, no regurg, no diarrhea 6
Lung, malignant pleural effusion         No                                                                      no dysphagia, early satiety, malignant effusion 12/21/04
                                         No
                                         No                                                               swallowing fluids, regular dilations, eating mashed potatos, 5/4
Periaortic nodes                         No                                                                    no dysphagia, odynophagia, nausea or vomiting 7/3/97
Liver                                    No                                                                   doing self dilation 46F daily due to some sticking 6/27/91
None                                     No
N/A                                      No                                                              poor appetite, regular dilations, dysphagia, cough, weak 5/2/9
Lumbar spine and pelvis                  No                                                     no dysphagia, no regurg, no diarrhea, daily cramps, slowly improving ap
N/A                                      No




?                                         No                                         regurg of food, jaundice, obstruction of pyloroduodenal area transhepatic drainage
                                          No
lung, pleura, malignant effusion, colon, spine, pelvis                                                      no dysphagia or regurg, bilateral pleural effusions 11/13/92
N/A                                       No
                                          No                                                                 significant dysphagia, reopening of cervical wound 7/6/99
Liver, lungs                              No                                           food sticking, some dysphagia but no dilation, constipation, anterior abdominal a
N/A                                       No
Lungs by CXR   No   mild dysphagia unchanged with dilation, rare regurg, no dumping
              Functional Status at last contact                   Swallowing Function                         Seiwert Class
              Doing well, no hoarsness, no problems 7/8/82                       Excellent                         I
              No dysphagia, rare regurg, no dumping, depressed 9/18/97           Excellent                         I
              Eating, no regurg problems 1/3/98                                  Excellent                         I
     Mild sticking, no regurg, mild cramps and diarrhea, happy 2/28/02             Good                            I
   No dysphagia, or regurg, no dumping, happy with ability to eat 7/15/93        Excellent                         I
                        doing well, no dysphagia 3/20/38                         Excellent                         I
   appetite improved, mild cervical dysphagia, intermittent dilation 6/19/86        Fair                          II
                 slight cervical dysphagia, got dilation 7/14/83                    Fair                           I
                   obstruction, had scope and dilation 7/6/81                       Poor                           I
                                                                                    Poor
rating tumor, had DHT placed, refused J-tube, on TPN and chemo, malignant ascites, on durgesic patch 11/6/01 II
    anastomotic stricture with gross tumor, feeding tube inserted 12/9/87           Poor                           at
                                                                                   applecore lesion at EGJ, tumor III 41cm, but path notes that tumor arises from stomach
      No dysphagia, regurg, or dumping, anorexic, on Megase 3/20/03              Excellent                         I
ing regular diet, no appetitie, no regurg, no dysphagia, some bloating 12/16/82 Excellent                          I
  appetite good, regular diet, no dysphagia, no regurg, no diarrhea 6/13/85      Excellent                        II
                                                                                                                Tumor at 45 cm obstructing
           no dysphagia, early satiety, malignant effusion 12/21/04              Excellent                         I
                         c/o dysphagia 10/12/93, dilated                            Fair                           I
     swallowing fluids, regular dilations, eating mashed potatos, 5/4/89            Poor                           I
           no dysphagia, odynophagia, nausea or vomiting 7/3/97                  Excellent                         I
          doing self dilation 46F daily due to some sticking 6/27/91                Poor                          II
              regular dilations q2 weeks, doing well 4/27/1981                      Poor                           I
       poor appetite, regular dilations, dysphagia, cough, weak 5/2/91              Poor                          II
ysphagia, no regurg, no diarrhea, daily cramps, slowly improving appetite 3/2/00 Excellent                         I
                         ?? Returned to ID after surgery                             ?                            II




                                                                                     Poor
, jaundice, obstruction of pyloroduodenal area transhepatic drainage, feeding tube 6/23/84                       II
         no dysphagia or regurg, bilateral pleural effusions 11/13/92             Excellent                       I
                Doing great, dilating q3 days, grateful 12/29/04                     Poor                        II
          significant dysphagia, reopening of cervical wound 7/6/99                  Poor                         I
                                                                                    Good
, some dysphagia but no dilation, constipation, anterior abdominal and back pain 7/26/00                         II   tumor at 42cm
                      Died suddenly after 7 days, no F/U                              ?                           I
mild dysphagia unchanged with dilation, rare regurg, no dumping 5/4/00   Fair   I
es from stomach
                                                   Adjuvant Radiation Group


DEMO_ID CANCER_ID Living or Deceased?            Age (at presentation)Sex                               Pre-Op Dates of
                                                                                  Date of Dx Date First Seen Radiation? Pre-Op RT
   6317       5044 Deceased                               80                  F     9/22/00   10/5/00 No       N/A
   5835       4876 Deceased                               68                  M     1/14/98    2/5/98 No       N/A
   6356       5065 Deceased                               65                  M    11/29/00    1/4/01 Yes      ?1/20-? - Not in Careweb
   5621       4790 Deceased                               75                  M    11/21/96 12/12/96 Yes       1/6/97 - 1/24/97

                                Avg age:                 72
                                Median age:             71.5
                                SD Population:          5.873670062




                                                           10/4/2010
                                                               Adjuvant Radiation Group


           Pre-Op Radiation
Amount of Pre-Op Chemo?                    Dates of Pre-Op Chemo
                                                       Amount of Date of Operation
                                                                 Pre-Op Chemo
                                                                           Operation DetailsTumor Margin Stage of Tumor
                                                                                      Gross      Pathologic(cm)Diagnosis           Anastomotic Leak?
none                     no                N/A         none       10/26/00 5 cm hard Not recorded w/ 1 cm lesser curvature/L gastric LNs all resected. Several fibrot
                                                                                     mass at EGJ poorly diff 4.5 cm (T3N1M0) of GEJ extending thru muscularis prop
                                                                                                                  III adeno CA             No
none                     no                N/A         none        2/14/98 Emergency operation for perforation during GEJ extending through muscle wall to serosal
                                                                                     Not recordedAdeno Ca arising (T3N1M0)
                                                                                                                  III at endoscopic US, transmural mass with - can't
                                                                                                                                           No
45 Gy          Yes - Cisplatinum, 5FU                  ??
                                           approx: 1/17-2/21?                        Not recorded nothing else, indurated distal esoph No
                                                                                                                  III (T3N1M0)
                                                                   3/16/01 1.5 cm hard EGJ node,Transmurally invasive adeno Ca with extensive mucin production,
                                                                   2/17/97 8.5 cm long tumor dose on 12/30/96) and Taxol (60mg/m2=109mg over 3 hours a week
            Yes - Taxol and cisplatinum 12/30/96 - cisplatinum (75mg/m2=136.5mg total one straddling EGJ, gastrin mucinous adeno CaYes transmural distal to tum
45 Gy (1.5 Gy fractions BID 30 fractions over 18 days1/20/97                                                      III (T4N0M0)
                                                                                        3.5 cm Signet ring grossly intramural, stomachwith  divided 3.5 cm invasion to




                                                                      10/4/2010
                                                             Adjuvant Radiation Group


Date of Death   Cause of Death             Time from THE to death             Days from THE to Death    Adjuvant Radiation
     7/7/04     Presumed Mets                     44 months, 11 days                   1,353            Yes
    8/24/98     Mets, malignant effusion           6 months 10 days                     193             Yes
   12/23/01     Mets                               9 months 7 days                      282             Yes
   12/24/97     Presumed Mets                      10 months 7 days                     312             Yes

                                              Average survival (days):                  535
                                              Median survuval (days):                   297
                                           Standard Deviation Population:                 474.2957938




                                                                       10/4/2010
                                               Adjuvant Radiation Group


Amount of Radiation   Location of Radiation            Dates of Radiation Treatment     Onc Doc
5,000 to 5500 cGy     Tumor bed and mediastinum                ? Need outside records   Jin-Chul Kim, M.D., Rad/Onc, Battle Creek Health Sy
Records unavailible   ? mediastinum and stomach                  No records availible   ?
18 Gy (63 Gy total)   Gastric margin and tumor bed                 Mid May 2001         Urba, Hayman
18 Gy (63 Gy total)   Mediastinum                                      Apr-97           Hayman




                                                      10/4/2010
                                                             Adjuvant Radiation Group


Adjuvant Chemo                       Adjuvant Chemo Dates    Local Tumor recurrence?                         Time from surgery to recurrence
                                                  ?
No - Referred to local oncologist 15 months later for mets   No
No                                               N/A         No                                                                 N/A
No                                               N/A                                                                    6 months 25 days
                                                             Yes, symptomatic, suspucious barium swallow distal intrathoracic stomach
? - was to see oncologist at Beaumont             ?          No                                                                 N/A




                                                                    10/4/2010
                                                          Adjuvant Radiation Group


Time from radiation to recurrence   Metastatic Disease?                Second PrimaryScore
                                                           Location of Metastasis  FLIC Tumor? Patient Satisfied Subjectively?
                                             Yes           Lungs           No                                                     Mild sticking, no regurg, mild cramp
N/A                                          Yes           ? Lungs         No
                                             Yes                           No
                                                           Lungs, liver, peritoneim stricture of distal stomach due to infiltrating tumor, had DHT placed, refused J
N/A                                          Yes           Periaortic nodesNo                                                           no dysphagia, odynophagia, n




                                                                 10/4/2010
                                                                          Adjuvant Radiation Group


               Functional Status at last contact     Swallowing Function
Mild sticking, no regurg, mild cramps and diarrhea, happy 2/28/02      Good
                  doing well, no dysphagia 3/20/38                   Excellent
                                                                       Poor
 tumor, had DHT placed, refused J-tube, on TPN and chemo, malignant ascites, on durgesic patch 11/6/01
      no dysphagia, odynophagia, nausea or vomiting 7/3/97           Excellent




                                                                                 10/4/2010
                             Age (at presentation) Date of Dx Date First Seen Radiation? Pre-Op RT
DEMO_ID CANCER_ID Living or Deceased? Sex                                Pre-Op   Dates of
   3431      3948 Deceased      76         M         6/25/81    7/8/81 No         N/A
   4000      4147 Deceased      65         M        11/17/82 11/23/82 No          N/A
   4713      4466 Deceased      53         M         11/7/90   12/6/90 Yes        ? - protocol 8825
   3802      4073 Deceased      78          F         8/6/79   8/20/79 No         N/A
   3499      3971 Deceased      39          F        5/20/99                      ? (not
                                                               5/25/99 Yes protocol 9740in careweb, rad onc have
           Pre-Op Radiation
                    Dates
Amount of Pre-Op Chemo? of Pre-Op Chemo of Operation
                               Amount of Date
                                          Pre-Op Chemo          Gross       Pathologic(cm)
                                                                                         Diagnosis
                                                      Operation DetailsTumor Margin Stage of Tumor
none          No    N/A        none                            Not recorded Poorly concern about venous cogestion of sto
                                                                                       adeno of cardia invading transmura
                                            7/15/81 5 cm tumor, no obvious mets, Diff III (T3N0M0)
None          No    N/A        none                            Not recorded tumor mass adherant
                                                                                      arrising in distal esophagus infiltratin
                                            12/3/82 positive L gastric node,Adeno Ca III (T3N1M0)to periaortic tissue, rese
Need records Yes               Need
                    1/13/91-2/8/91 records3/5/91 Edema of Not recorded and mediastinum, induration of gastroepiplo
                                                               upper stomach          III invasive adeno Ca into adventitia
                                                                            Transmurally(T3N1M0)
none          No    N/A        none                            Not recorded in subserosa and serosa, + distal margin
                                            8/29/79 None recorded           Ca        III (T3N2M0)
?             Yes                            8/2/99 of Taxollong distal involving
                                                                            Residual adeno Ca predominantly within subm
                                                                                     IIIA (T3N1M0)
                    6/99-7/99 5-FU, cisplatin, 1 dose 1-2 cm3 cm tumor to tumor cardia, 2cm above and 2cm below GEJ,
         Date of Death        Time        THE from Adjuvant Radiationof Location of Radiation
                                                    THE
Anastomotic Leak? Cause of Death from Daysto death to Death    Amount   Radiation Dates of Radiation Treatment
   No       7/1/83 Cancer35 months, 15 days716      No         N/A      N/A           N/A
   No                      6 months
         7/24/1983 Presumed mets 21 days 233        No         N/A      N/A           N/A
   No                     16 mets
           7/25/92 Presumedmonths, 20 days508       No         N/A      N/A           N/A
   No                     23 months, residual cancerNo autopsyN/A
           8/18/81 Heart Disease - no20 days720      at                 N/A           N/A
   No                      9 months 28 and 302                 30Gy
           5/30/00 Diffuse Mets to spinedays pelvis No got RT for mets           4/24/00-5/4/00
                                                                        Lower lumbar spine and sacrum (palliation)

                          Mean Survival:     496
                       Median Survival:      508
          Standard Deviation Population:     203
Onc Doc Adjuvant Chemo            Local Dates
                                            Time from Time
                                                      surgery to radiation to recurrence
                                                                 recurrenceDisease? Second Primary Tumor?
                       Adjuvant Chemo Tumor recurrence? from Metastatic Location of Metastasis
           Yes, empiric    ?      No?                 N/A     Yes presumably
Natale                 1/82-5/82
           Yes - 5FU, adriamycin No            N/A    N/A     Yes presumablyN/A           No
Natale?    Yes        10/17/91 - ?No           N/A    N/A           Yes     Liver         No
           Yes
Oncologist in Midland 4/80 - 12/80No           N/A    N/A            No     None          No
           Yes, 10/14/99 - 11/24/99
Hayman, Urba 5FU and cisplatin No              N/A    N/A           Yes                   No
                                                                            Lumbar spine and pelvis
FLIC ScorePatient Satisfied Subjectively?                             Status at last contact
                                                        FunctionalSwallowing Function
                                                                      Excellent
                                                        Doing well, no hoarsness, no problems 7/8/82
                                                                        Fair
                                      slight cervical dysphagia, got dilation 7/14/83
                                                                        Poor
                                doing self dilation 46F daily due to some sticking 6/27/91
                                                                        Poor
                                                        regular dilations q2 weeks, doing well 4/27/1981
                                                                      Excellent
                   no dysphagia, no regurg, no diarrhea, daily cramps, slowly improving appetite 3/2/00
                             Age (at presentation) Date of Dx Date First Seen Radiation? Pre-Op RT
DEMO_ID CANCER_ID Living or Deceased? Sex                                Pre-Op  Dates of
   3527       3981 Deceased     68         M        2/11/97     3/6/97 Yes       ?-4/4/97
   3888       4102 Deceased     67         M         1/7/81                      N/A
                                                                1/7/81 None recorded
   4075       4183 Deceased     64         M         2/1/84     2/6/84 No        N/A
   6803       5378 Deceased     65         M         4/8/04     4/8/04 No        N/A
   4889       4539 Deceased     60         M        6/11/92     7/1/92 No        N/A
           Pre-Op Radiation
                       Dates
Amount of Pre-Op Chemo? of Pre-Op Chemo of Operation
                                 Amount of Date
                                           Pre-Op Chemo
                                                    Operation DetailsTumor Margin Stage of Tumor
                                                                Gross       Pathologic(cm)Diagnosis
                       taxol
45 GyYes, cisplatinum, ?-3/31/97 ?                             Not recorded residual to aorta over 5-6 cm length
                                                                                       III (T4N1M0)
                                            4/29/97 No intra abd mets, esoph fusedinvasive adeon Ca arising in Barretts,
  None recorded - pullN/A
none                    records none                           Not recorded Extensive adeno Ca @EGJ, tumor at nodes
                                                                                       III to celiac and subcarinal surgical
                                            1/13/81 Full thickness penetration with mets (T3N2M0)
none           No      N/A       none                          Not recorded Transmurally infiltrative adenometastatic 3mm
                                                                                     IVb into fat, several Ca of gastric ca
                                             3/7/84 5.5 cm EGJ Ca through lesser curve(T3N2M1b)
none           No      N/A       none                              5 cm     Invasive adeno Ca Hospital, Barrett's extendin
                                                                                       III Mary arising
                                             4/8/04 Had esoph dilation of stricture at St. (T3N1Mx) in presented to ER w
none           No      N/A       none                          Not recorded Transmurally(T4N1M1)
                                                                                       IV invasive adeno Ca arising in dise
                                            8/18/92 No intra abd tumor, marked adhesions from chole and HH repair, Bar
         Date of Death       Time
Anastomotic Leak? Cause of Death from THE to death             Days from THE to Death
   No     11/26/97 Mets, pneumonia  6 months, 27 days                    211
   No      7/10/81 Mets             5 months, 27 days                    180
   No      7/13/84 Mets              4 months 6 days                     128
   No      1/21/05 Mets             9 months, 13 days                    288
   No       1/2/93 Carcinomatosis   4 months, 15 days                    137

                                 Average survival (days):                183
                                 Median survuval (days):                 159
                              Standard Deviation Population:               63.58999528
Adjuvant Radiation                     Radiation Dates of Radiation
                          Amount of Location of RadiationOnc DocTreatment
Yes                                   mediastinum and stomach
                          18 Gy (63 Gy total)     ?-6/19/97 Hayman/Urba
Yes, cobalt               ?           ?           2/12/81-? Dr. Ramsdell? Front St., Traverse City, MI
? Yes Need OSH records                                       ?
Yes                       4500 cGy for mediastinum, 7/12/04-7/16/045 fractions/week
                                      Mediastinum + margin Dr. June for margin Providence), Dr. Michael Kraut (chemo - U
                     6/3/04 - 7/9/04 to mediastinum (1.8 cGy/fraction, Chan (Rad -boostfor 5 weeks), 5400 cGy total to margin
Yes                                                          Robert for palliation
                          4600 cGy as adjuvant then 3000cGy later F. Todd, M.D. (onc)
                                               and Distal surgical margins (4600 cGy) and L3,L4 and sacrum (palliation)
                                      Proximal 9/30/92-11/8/92
Adjuvant Chemo                                                 Local DatesTime from Time
                                                                                     surgery to radiation to recurrence
                                                                                                recurrence
                                                    Adjuvant Chemo Tumor recurrence? from Metastatic Disease?
Yes - one cycle of 5FU and cisplatin               ? - 10/23/97No                                  Yes
                                                    2/12/81-? Yes, later for malignant effusion
                                                                           6 months 3 months       Yes
Yes - original regimin not on card, got 5-FU, Mitomycin C 5 months obstruction on scope on 7/6/81 ?location
Yes, FU, adryomycin, Mitomycin C?                   5/11/84-? No              N/A    N/A           Yes
Yes - cisplatin, 5-FU                                          N
                                                  6/7/04-8/25/04 o                   ?
                                                                       ? Need records Need records Yes
Yes - 5 doses of 5 FU, 2 doses of cisplatin           Nov-92 Not all resected N/A    N/A           Yes
            Second PrimaryScore
Location of Metastasis FLIC Tumor?  Patient Satisfied Subjectively?                            Status at last contact
                                                                                   FunctionalSwallowing Function
Neck node + FNA?No                                                                             Excellent
                                                                                   No dysphagia, rare regurg, no dumping, depre
? lungs        No                                                                                Poor
                                                                   obstruction, had scope and dilation 7/6/81
?              No                                                                                Poor
                                   regurg of food, jaundice, obstruction of pyloroduodenal area transhepatic drainage, feeding tu
               No
Lung, malignant pleural effusion                                                               Excellent
                                                            no dysphagia, early satiety, malignant effusion 12/21/04
               No
lung, pleura, malignant effusion, colon, spine, pelvis                                         Excellent
                                                          no dysphagia or regurg, bilateral pleural effusions 11/13/92
Swallowing Function
DEMO_ID CANCER_ID Number              Age (at presentation) Date of Dx Date First Seen Radiation?
                           Living or Deceased? Sex                                Pre-Op
   6317      5044    1     Deceased      80          F        9/22/00   10/5/00 No
   5835      4876    2     Deceased      68         M         1/14/98    2/5/98 No
   5621      4790    3     Deceased      75         M        11/21/96 12/12/96 Yes
   3431      3948    4     Deceased      76         M         6/25/81    7/8/81 No
   4000      4147    5     Deceased      65         M        11/17/82 11/23/82 No
   3802      4073    6     Deceased      78          F         8/6/79   8/20/79 No
   3499      3971    7     Deceased      39          F        5/20/99   5/25/99 Yes protocol 9740
   3888      4102    8     Deceased      67         M          1/7/81    1/7/81 None recorded
   6803      5378    9     Deceased      65         M          4/8/04    4/8/04 No



   4075      4183   12     Deceased      64        M         2/1/84    2/6/84   No
   4889      4539   14     Deceased      60        M        6/11/92    7/1/92   No
   6356      5065    3     Deceased      65        M       11/29/00    1/4/01   Yes
   3527      3981   10     Deceased      68        M        2/11/97    3/6/97   Yes
   4713      4466    7     Deceased      53        M        11/7/90   12/6/90   Yes
            Amount      Pre-Op Radiation
                                   Dates      Amount of Date
                                                          Pre-Op Chemo
Dates of Pre-Op RTof Pre-Op Chemo? of Pre-Op Chemo of Operation Operation Details Gross Tumor Margin (cm
N/A         none           no      N/A        none             10/26/00                          Not w/ 1 cm
                                                                            5 cm hard mass at EGJ recordedlesser curvatur
N/A         none           no      N/A        none              2/14/98                          Not recorded
                                                                            Emergency operation for perforation during end
               Gy                   BID 30                                                          3.5 and
                                                                            8.5 one dose on 12/30/96)cm Taxol (60mg/m
                                              cisplatinum (75mg/m2=136.5mg totalcm long tumor straddling EGJ, grossly intram
            45 Yes - Taxol and cisplatinum - 1/20/97
1/6/97 - 1/24/97 (1.5 Gy fractions12/30/96fractions over 18 days2/17/97
N/A         none           No      N/A        none              7/15/81                          Not mets, concern about ve
                                                                            5 cm tumor, no obvious recorded
N/A         None           No      N/A        none              12/3/82                          Not recorded
                                                                            positive L gastric node, tumor mass adherant to
N/A         none           No      N/A        none              8/29/79     None recorded        Not recorded
            ?              have 6/99-7/99 5-FU, cisplatin, 1 dose of Taxol 1-2 cm long tumor cm distal to tumor
? (not in careweb, rad onc Yes records?)                         8/2/99                       3 involving cardia, 2cm above
N/A            None recorded - pullN/A
            none                   records none                 1/13/81                          Not recorded
                                                                            Full thickness penetration with mets to celiac an
N/A         none           No      N/A        none               4/8/04                               5 cm
                                                                            Had esoph dilation of stricture at St. Mary Hosp



N/A          none           No     N/A        none             3/7/84                            Not lesser curve into fat, se
                                                                             5.5 cm EGJ Ca through recorded
N/A          none           No     N/A        none            8/18/92                            marked adhesions from cho
                                                                             No intra abd tumor, Not recorded
             45 GyYes - Cisplatinum, 5FU 1/17-2/21?
?1/20-? - Not in Careweb           approx:    ??              3/16/01                            Not recorded
                                                                             1.5 cm hard EGJ node, nothing else, indurated
                                    taxol
?-4/4/97 45 GyYes, cisplatinum, ?-3/31/97 ?                   4/29/97                            Not recorded
                                                                             No intra abd mets, esoph fused to aorta over 5-
? - protocol Need records Yes
             8825                             Need
                                   1/13/91-2/8/91 records      3/5/91                            Not recorded
                                                                             Edema of upper stomach and mediastinum, ind
              Diagnosis                    Date of Death
PathologicStage of Tumor Anastomotic Leak? Cause of Death                                   THE from THE
                                                                                 Time from Daysto death to Death
                III adeno CA       No          7/7/04 Presumed Mets 44 months, 11 days ,350    1
poorly diff 4.5 cm(T3N1M0) of GEJ extending thru muscularis propria into outer adventitia and focally to deep margin. Distal m
                III (T3N1M0)       No         muscle Mets, malignant and inked 10 days 191
                                                                             6 months
Adeno Ca arising at GEJ extending through8/24/98 wall to serosal fat effusion margin. Tumor present at distal gastric margin
                III (T4N0M0)       Yes       12/24/97 Presumed Mets          10 months 7 days 310
Signet ring gastrin mucinous adeno Ca with transmural invasion to omental fat. Tumor extends to deep margin and is present
                III (T3N0M0)       No          7/1/83 Cancer                35 months, 15 days716
Poorly Diff adeno of cardia invading transmurally into periesophageal and distal gastric margins
                III (T3N1M0)       No       7/24/1983 Presumed mets          6 months 21 tissue, tumor in lymphatics at margin, 3
Adeno Ca arrising in distal esophagus infiltrating thru wall into adjacent periesoph. Softdays 233
                III and serosa,    No
Ca in subserosa (T3N2M0) + distal margin                                     residual cancer at autopsy
                                              8/18/81 Heart Disease - no23 months, 20 days720
               IIIA (T3N1M0)
Residual adeno Ca predominantly No            5/30/00 lymphatic channels,9present 28 days 302
                                                                               and pelvis
                                   within submucosal Diffuse Mets to spine monthsat distal gastric margin, gastric lymph nodes
                III Ca @EGJ,        at        7/10/81 14/18                 5 months, 27 days 180
Extensive adeno (T3N2M0) tumorNo surgical margin,Mets nodes +, + subcarinal node
                III (T3N1Mx)       No         1/21/05 Mets                  9 months, margin 288
Invasive adeno Ca arising in Barrett's extending into adventitia, deep margin -, prox 13 days -, gastric margin +, 4/8 nodes +, se

                                                      11/12 = mets

              infiltrative adeno   No       cardia Mets                     no Barrett's mucosa,
TransmurallyIVb (T3N2M1b) Ca of gastric 7/13/84involving distal margin,4 months 6 days 128 6/13 parigastric and periesoph
               IV (T4N1M1)         No       1/2/93 Carcinomatosis          mediastinal days +,
Transmurally invasive adeno Ca arising in Barrett's extends to adventitia,4 months, 15pleura1378/8 nodes +, cervical and distal
               III (T3N1M0)        No     12/23/01 production, deep andmonths margins282
Transmurally invasive adeno Ca with extensive mucinMets                    9 gastric 7 days +, cervical margin neg, 5/10 peries
               III adeon Ca        in     11/26/97 Mets, pneumonia          months, margin, adventitial deep margins -, 1/8 nod
residual invasive (T4N1M0) arising NoBarretts, invades submucosa and is6+ at distal27 days 211
               III (T3N1M0)        No      7/25/92 Presumed 3/5          16 +
Transmurally invasive adeno Ca into adventitia, gastric margin +,metsnodesmonths, 20 days508
                                    Radiation Dates of Radiation Treatment
Adjuvant Radiation Amount of Location of RadiationAdjuvant Chemo                                  Local Dates
                                                                                      Adjuvant Chemo Tumor recurrence?
Yes                    5,000 to 5500 cGy Need outside records
                                        ?                 No - Referred to local oncologist? months later for mets
                                   Tumor bed and mediastinum                                 15   No
Yes                                ? mediastinum and stomach
                                          No              No
                       Records unavailible records availible                              N/A     No
Yes                                Mediastinum Apr-97 ? - was to see oncologist at Beaumont No
                       18 Gy (63 Gy total)                                                 ?
No                     N/A         N/A             N/A    Yes, empiric                     ?      No?
No                     N/A         N/A             N/A    Yes - 5FU, adriamycin        1/82-5/82 No
No                     N/A         N/A             N/A    Yes                         4/80 - 12/80No
No got RT for mets     30Gy                  4/24/00-5/4/00 sacrum and cisplatin
                                                          Y
                                   Lower lumbar spine and es, 5FU (palliation) 10/14/99 - 11/24/99No
Yes, cobalt            ?           ?                                                    card, got Yes, Mitomycin on months la
                                                2/12/81-? Yes - original regimin not on2/12/81-? 5-FU, obstruction C 5 scope on
Yes                    4500 cGy for mediastinum, 7/12/04-7/16/04 for margin boostfor 5 weeks), o
                                   Mediastinum + margin Yes - cisplatin, 5-FU                     N
                  6/3/04 - 7/9/04 to mediastinum (1.8 cGy/fraction, 5 fractions/week6/7/04-8/25/04 5400 cGy total to margin (ad



? Yes Need OSH records                                                           5/11/84-?
                                                       Yes, FU, adryomycin, Mitomycin C? No
Yes                            Proximal 9/30/92-11/8/92 - margins (4600 2 and L3,L4 and sacrum (palliation)
                                         and Distal surgical 5 doses of 5 FU,
                                                       Yes                         Nov-92 Not
                    4600 cGy as adjuvant then 3000cGy later for palliation cGy)doses of cisplatin all resected
Yes                            Gastric Mid May tumor   No
                    18 Gy (63 Gy total) margin and2001 bed                           N/A     Yes, symptomatic, suspucious
Yes                            mediastinum and stomach - one cycle of 5FU and?cisplatin
                    18 Gy (63 Gy total)    ?-6/19/97 Yes                          - 10/23/97No
No                  N/A        N/A            N/A      Yes                      10/17/91 - ?No
             Disease? FunctionalSwallowing Function
  Metastatic Location of Metastasis               Seiwert Class
                                       Status at last contact
      Yes    Lungs                       Good I
                         Mild sticking, no regurg, mild cramps and diarrhea, happy 2/28/02
      Yes    ? Lungs                   Excellent I
                         doing well, no dysphagia 3/20/38
      Yes                no dysphagia, odynophagia, nausea or vomiting 7/3/97
             Periaortic nodes          Excellent I
Yes presumably                         Excellent I
                         Doing well, no hoarsness, no problems 7/8/82
             N/A
Yes presumably                            Fair    I
                         slight cervical dysphagia, got dilation 7/14/83
      No     None                        Poor     I
                         regular dilations q2 weeks, doing well 4/27/1981
      Yes                no dysphagia, Excellent I
             Lumbar spine and pelvis no regurg, no diarrhea, daily cramps, slowly improving appetite 3/2/00
      Yes    ? lungs                     Poor
                         obstruction, had scope Iand dilation 7/6/81
      Yes                no dysphagia, early satiety, malignant effusion 12/21/04
                                       effusion
             Lung, malignant pleural Excellent I
                                                              9 class 1


     Yes     ?                             jaundice, obstruction of pyloroduodenal area transhepatic drainage, feeding tube 6/23/84
                         regurg of food,Poor      II
     Yes                 no dysphagia or regurg, bilateral pleural
                                       Excellent I
             lung, pleura, malignant effusion, colon, spine, pelvis effusions 11/13/92
     Yes                 stricture of distal stomach due to infiltrating tumor, had DHT placed, refused J-tube, on TPN and chemo
             Lungs, liver, peritoneim Poor        II
     Yes                 No dysphagia, rare regurg, no dumping, depressed 9/18/97
             Neck node + FNA           Excellent I
     Yes     Liver                        Poor    II
                         doing self dilation 46F daily due to some sticking 6/27/91
                                                          No Radiation Group


DEMO_ID CANCER_ID               Age (at presentation) Date of Dx Date First Seen Radiation? Pre-Op RTof Pre-Op Chemo? of Pre-Op Chemo
                     Living or Deceased? Sex                                Pre-Op    Dates of Amount                Dates
                                                                                                            Pre-Op Radiation    Amount of Pre-Op Chem
   5381       4707   Deceased      63         M         8/2/95    8/17/95 No          N/A        none          No    N/A        None
   3584       4000   Deceased      61         M        2/19/93    2/25/93 No - pt declined
                                                                                      N/A        none          no    N/A        none
   4240       4253   Deceased      72         M        3/24/86     4/3/86 No          N/A          Yes               in 1982
                                                                                                 none - for lymphoma 1981-1982 ?
   4340       4292   Deceased      68         M         1/5/87    1/29/87 No          N/A        none          No    N/A        none
   6619       5200   Deceased      85         M        9/12/02 11/20/02 No            N/A        none          No    N/A        none
   3983       4141   Deceased      65         M         8/4/82    8/19/82 No          N/A        none          No    N/A        none
   3406       3940   Deceased      64         M        4/11/85    4/18/85 No          N/A        none          No    N/A        None
   3766       4059   Deceased      55         M         6/1/93                        ?- 8825
                                                                  6/17/93 Yes - protocol 7/30/93 Need records Yes    7/11/93-7/28/93chemotherapy consist
                                                                                                                                His
   3984       4142   Deceased      67          F       8/16/88    8/25/88 Yes                    Need records Yes
                                                                                      Need records                   Need       Need records
   3984       4142   Deceased      76         M        2/27/87 3/19/1987 No           N/A        None          No    N/A        none
   5047       4594   Deceased      67         M        8/12/93    8/26/93 No          N/A        none          No    N/A        none




   5722       4832    Living       62         M       5/31/01     6/21/01   Yes                 8/13/01         Yes     7/23/2001 8/13/01
                                                                                    7/23/2001 - 45 Gy total in 1.5 Gy fractions BID- 5 FU for 21 days, cisplatin
   6053       4957   Deceased      81         M       2/10/99     4/19/99   Yes                                  No     N/A
                                                                                    2/99-4/99 400-500 cGy - at OSH per MDI note here none
   5944       4915   Deceased      69         M       1/12/00     1/28/00   No      N/A         none             No     N/A          none
   3689       4030   Deceased      84         M        6/1/88      6/9/88   No      N/A         none             No     N/A          none
   6138       4985   Deceased      77         M       9/16/99    10/28/99   No      N/A         none             no     N/A          none




                                                                10/4/2010
                                                                   No Radiation Group


Date of Operation               Gross       Pathologic(cm)Diagnosis
                    Operation DetailsTumor Margin Stage of Tumor               Anastomotic Leak? Date of Death Cause of Death
      8/22/95                 Not recorded  Barrett's with HGD, long by 4 cm wide into adventitia, few micro foci SCJ), nodularity palpable ongastric margin, periesoph a
                                                              cm invasive
                    9cm long segment of Barrett's with 7.5 III (T3N1M0)adeno ca maligNo                      below      metestatic adeno ca
                                                                                          ulcer within (just 5/9/98 of adeno ca in submucosal external aspect of esoph n
       3/9/93                 Not recorded  Invasive adeno Ca(T3N1M0) Barrett's w/ high grade dysplasia8/1/93 5 cm longto lung mass at EGJ, no obvious Barretts
                                                              III arising in
                    5x6 cm celiac nodal mass resected with specimin, 2x2 cm L and RNo                         and extending into perigastric and periesoph fat. Tumor in su
                                                                                          paraesophageal nodes,         Mets polipoid
      4/18/86                      3 straddling EGJ and extending onto lesser curv. + small celiac node,5/21/87 perigastric and celiac distal 2 + for mets
                    5cm long tumor cm                         III (T3N1M0)               No                  palliative Mets
                                            Transmurally invasive adeno Ca extending to distal staple line, 8/10 resection involved nodes cm of esoph
      2/20/87                      3cm      about 1-2 cm above EGJ, stomach tubed, 3cm stomach, distal marginMets nodes looked +
                                                              III (T3N2M0)                 from              3/7/88      +, 8/9
                    8cm ulcer, cardia, only Transmurally invasive signet ring CA arisingNo margin L gastric and paraesophperigastric nodes +
     12/10/02                      4 cm     and mediastinalIII (T3N1M0) with dysplasia,No
                                                               adhesions,                 transmurally to 3/31/03 deep margin, extensive angiolymphatic invasion with U
                                                                                                            control,    Presumed mets
                    Severe intraabdominal Adeno Ca arising in Barrett'sbleeeding, partial sternal splitinvasive to induration in wall of esophagus felt to within 1.5cm of in
      8/25/82                    1-1.5 cm EGJ tumor along lesser curve to within 4-5 No of and extending through to about wall cm down to and to gastric margin,
                                                              III (T3N2M0)                cm                1/24/83     ? Flu
                    Intramural extension ofInfiltrative adeno Ca arising in Barrett's esophaguspylorus, stomach tubed muscular2.5-3 to adventitia just proximal to pyloru
      5/20/85                 Not recorded  Mod to well differentiated adeno ca arising at GEJ infiltrating entirebloc Presumed mets
                                                              III (T3N1M0)               No         resected en Florida)
                    5cm long tumor at sq col junction with grossly + nodes along L gastric artery 12/?/1985 (in wall thickness, focal area of Barrett's at EGJ, some tum
      8/27/93                 Not recorded                    III at gastric             No                 8/15/94     Gastric Recurrance
                    Uncomplicated THE Signet ring arising (T3N0M0)cardia extended to distal staple line, 5/5 nodes +, celiac node +
      11/2/88                  in recorded  Transmurally invasive signet ring CA extending to distal margin no transmural to adventitia
                                                             IIB (T3N0M0)                No                 8/18/89     Presumed mets
                    AdhesionsNotupper abd and lower mediastinum, no meds, moderate esoph thickening,of stomach andinvasion grossly
     5/6/1987                 Not cat cardiaMicroscopic tumor (T3N0M0)margin
                                                             IIA at gastric              No                 mets
                    External mass recorded felt 3-4 cm, localized with transmural invasion, no obvious 5/16/91          Progressive Cachexia
      9/10/93                 Not recorded  Mucinous adeno Ca, + signet 6 cm up gastric margin +, all nodes +
                                                              III (T3N1M0)               No                 2/12/95      vein,
                    Tumor involved much of gastric cardia and extended ring cells,into chest near inferior pulmonaryStrokevery narrow gastric tube, clinically + nodes

                                                                                                                       8/11=mets
                                                                                                                                                     Standard Deviation P

      9/10/01                  Not recordedappeared with III (T3N1M0)standard THE Yes completed
                                                           involved, so                  was              N/A       N/A
                    only cardia of stomach Adeno Ca to beextensive treatment effect, arising in GEJ, invading to adventitia, positive gastric margin, neg cervical margin
       5/7/99                      4 cm    Moderatly tumor differentiated adeno CAYes GEJ invading into muscularis propria. Proxdisease
                                                           IV
                    Stomach stapled 4cm from gross to poorly(T1N1M1)                      frm           10/8/99     ? Likely recurrent and distal margins +, deep mar
       4/3/00                      2 cardia mass invading IV (T3N0M1) omentumarise from GEJ,tumor), stomachgastric margin +, gastrotomy site +, in nodes negpal
                    Extensive 7-8cmcm                       gastroepiploic               No             8/18/00     tubed,
                                           omental bx +, greater curve bx +, tumor (resected with adventitial and Mets scattered serosal nodumes 7 imentum,
      7/15/88                     2-3 cm Transmurally invasive gastric tube with 2-3 cm
                                                           III (T3N1M0)                   spread to     7/22/88     Sudden, ? of gastric resection, cervical margin ne
                    Huge cardia tumor primarily on gastric side, stomachadeno ca withNo marginesophagus and distal marginCause
     12/10/99                  Not recordedTransmurally invasive extensively infiltratingNo
                                                            lesser curve,                  adeno Ca nodes, 3x4 cm celiac node, bulky extensive lymphatic, extensive in
                                                                                                        6/18/00     surgical
                    Huge, lower 1/3 and involvement of theIII (T3N1M0) 1-2 cm hard lesser curveextending into all Cancer margins, esoph Ca (9cm) with invasion 2/2




                                                                        10/4/2010
                                                            No Radiation Group


 Time from THE to death         Days from THE to Death   Adjuvant Radiation                    Radiation Dates of Radiation
                                                                                   Amount of Location of RadiationOnc DocTreatment
       32 months, 18 days                  991                                     ? Need records
                                                                                              ?
                                                         ? Possibly, pt returned to NE after d/c              ?    Verdirame (in Nebraska)
        4 months, 22 days                  145           No                        N/A        N/A            N/A   N/A
        13 months, 3 days                  398           No                        N/A        N/A            N/A   N/A
       12 months, 15 days                  380           No                        N/A        N/A            N/A   N/A
        3 months, 21 days                  111           No                        N/A        N/A            N/A   N/A
         5 months 0 days                   152           No                        N/A        N/A            N/A   N/A
        Approx. 7 months                   195                                     N/A
                                                         ? Returned to Florida after D/C      N/A            N/A   ?
       11 months 19 days                   354           No                        N/A        N/A            N/A   Urba
        9 months 16 days                   289           No                        N/A        N/A            N/A   N/A
       48 months 10 days                  1,474                                    for
                                                         No, got RT 4 years later ? recurrance         5/10/90
                                                                                              Mediastinum? - 6/1/90?
        17 months 2 days                   520                                     N/A
                                                         ? No (Referred back to Idaho)        N/A            N/A   N/A
                 Mean Survival:            455
              Median Survival:             354
Standard Deviation Population:             399

             N/A                   1471 as of 9/20/05                           N/A        N/A            N/A      Wordern (chemo), Hayman
                                                         No - had completion gastrectomy on 9/30/03 for necrosis, colon interposition 9/23/03 (rad)
        5 months 0 days                   153            None documented here N/A          N/A            N/A      ? Dr. Maurice Belkin, M.D., 28730 Harper, St
       4 months, 15 days                  137            No                     N/A        N/A            N/A      Urba
            7 days                         7             No                     N/A        N/A            N/A      N/A
       6 months, 8 days                   191            No                     N/A        N/A            N/A      Carol R. Rapson, MD, 1200 E. Michigan Ave.




                                                                 10/4/2010
                                                                No Radiation Group


Adjuvant Chemo                                                   Local Dates
                                                       Adjuvant Chemo Tumor recurrence?                      surgery to radiation to recurrence
                                                                                                                        recurrence
                                                                                                  Time from Time from Metastatic Disease?
? returned to Nebraska after D/C                           ?     ? - records requested from NE       N/A     ?                    Yes
Referred to Heme Onc for chemo for mets, no records              No
                                                      Need records                                   N/A     N/A                  Yes
Yes, reportedly on chemo for mets at time of death         ?     No                                  N/A     N/A                  Yes
No                                                        N/A                                 9 months 18 N/A
                                                                 Yes -at anastomosis symptomatic 12/8/87 days                     Yes
No                                                        N/A    No                                  N/A     N/A                  Yes
No -pt denied                                             N/A    No                                  N/A     N/A                  No?
? Returned to Florida after D/C                           N/A    No?                                 N/A     N/A                  Yes
No                                                        N/A    Yes - symptomatic                11 months N/A                   No?
No                                                        N/A    No                                  N/A     N/A            Yes presumably
No                                                        N/A                              2 yrs, 9 months (2/7/90) got mucosa
                                                                                                             None,          Presumably Yes
                                                                 yesscoped for symptomatic dysphagia- tumor in gastricradiation for recurrance, pt refused initial a
? No                                                      N/A    No?                                 N/A     N/A                  ? No




No                                                        N/A     No                                N/A     N/A                  No
No                                                        N/A                                    2 months N/A
                                                                  Yes, symptomatic neck recurrence 7/6/99 ?at anastomosis? Yes presumably
No not here                                               N/A     No                                N/A     N/A                  Yes
No                                                        N/A     No                                N/A     N/A                  No
No, patient declined                                      N/A     Not all resected                          N/A                  Yes




                                                                    10/4/2010
                                                                 No Radiation Group


            Second PrimaryScore
Location of Metastasis          Patient Satisfied Subjectively?
                        FLIC Tumor?                                           Functional Status at last contact
                 region
R hip, R orbital No                                                           Eating, no regurg problems 1/3/98
                 No
Lungs, supraclavicular node                                  No dysphagia, or regurg, no dumping, happy with ability to eat 7/15/93
?                No                                          appetite improved, mild cervical dysphagia, intermittent dilation 6/19/86
?                No                                           anastomotic stricture with gross tumor, feeding tube inserted 12/9/87
?                No                                             No dysphagia, regurg, or dumping, anorexic, on Megase 3/20/03
?                No                                    eating regular diet, no appetitie, no regurg, no dysphagia, some bloating 12/16/82
?                No                                         appetite good, regular diet, no dysphagia, no regurg, no diarrhea 6/13/85
                 No                                                              c/o dysphagia 10/12/93, dilated
                 No                                            swallowing fluids, regular dilations, eating mashed potatos, 5/4/89
N/A              No                                              poor appetite, regular dilations, dysphagia, cough, weak 5/2/91
N/A              No                                                              ?? Returned to ID after surgery




N/A          No                                                             Doing great, dilating q3 days, grateful 12/29/04
             No                                                       significant dysphagia, reopening of cervical wound 7/6/99
Liver, lungs No                                food sticking, some dysphagia but no dilation, constipation, anterior abdominal and back pain 7/26/00
N/A          No                                                                   Died suddenly after 7 days, no F/U
Lungs by CXR No                                                mild dysphagia unchanged with dilation, rare regurg, no dumping 5/4/00




                                                                      10/4/2010
                                             No Radiation Group


Swallowing Function         Seiwert Class
                Excellent   I
                Excellent   I
                   Fair     II
                  Poor      III
                Excellent   I
                Excellent   I
                Excellent   II
                   Fair     I
                  Poor      I
                  Poor      II
                    ?       II
                                      6 class 1
                                      4 class 2
                                      1 class 3

                  Poor      II
                  Poor      I
                  Good      II
                   ?        I
                  Fair      I




                                                  10/4/2010

				
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