Self Instructional Manual for Cancer Registrars - SEER - National ...

PRACTICAL EXERCISE ANSWERS
Example El7 11/14/91. Hema. Rpt.: Hgb-12.6 gms%. WBC-6,100. Plat.-238,000.
Lymphoblasts-23%.
Dx: Acute Lymphocytic Leukemia.
Comment:
The WBC for this patient is within the normal range,
however, the presence of blast (immature) cells eaUed
iymphoblasts is diagnostic of leukemia.
Example El8: 3/25/91. Hema. Rpt.: Hgb.-20.3 gms%. WBC-9650. Plat.-938,000.
Dx: Polycythemia vera.
Example El9: 8/1/91. Hema. Rpt.: Hgb. and Hct. values low; WBC and retic, normal.
Comment: This report is not diagnostic of leukemia and probably would not be a
reportable case. Hematologic findings generally are not recorded for
other than leukemia and lymphoma cases.
Patients with the diagnosis of leukemia often have a hematologic examination performed daily.
To report the findings of each examination would be excessive. The best procedure is to extract
pertinent findings from the first report upon admission and the most definitive report prior to the
beginning of treatment. In addition, 'reports indicating remission or relapse may be recorded as part
of the follow-up information.
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