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

The information described in Example F4 is abstracted as follows:
Example F4: 3/4/91. Esophagogastroscopy: Mucosa in distal esophagus erythematous;
obstruction of distal esophagus. Imp: Prob.
Carcinoma of fundus of stomach. Two Bx's
taken.
Comments:
a. To conserve space, it is permissible to combine portions of description with impression.
It is not necessary to record full statement on report--"scope was passed with ease to
gastroesophageal (GE) junction. At that point lumen narrowed and prevented entrance
of scope into the stomach."
b. Lumen means channel.
c. The report describes the mucosa (mucous membrane or lining) of the esophagus.
The general instructions for abstracting this report are as follows:
1. Record date and procedure.
2. Record pertinent findings.
3. Record impressions of cancer, if given.
4. Record that biopsies were taken, locate the pathology report, and record the pertinent
findings.
PRACTICAL
EXERCISE
On the tbllowing pages are eight endoscopic reports (Examples F5-F12). Abstract each report
as it might appear on the cancer registry abstract, then compare with abstractions on pages 157-159.
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