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

EXAMPLE
F8
GASTROSCOPIC
REPORT
Hospital No. 000026 Ward/Clinic Surgery Date 2/26/91
Name Selden McGlutton Age: 56 Race: White Sex: Female
DIAGNOSIS: Obstruction due to old ulcer disease or malignancy
BRIEF G. I. HISTORY: Loss of appetite, bloating and occasional bouts of vomiting of
retained food
PERTINENT PHYSICAL FINDINGS: Epigastric mass
GASTRIC ANALYSIS: Total Free Histamine
Stool Examination
Blood Count
SUMMARY
G.I. X-RAYS:
GASTROSCOPIC FINDINGS:
Gastroscope was passed into the stomach without difficulty. The antrum was
identified and observed constricted by an extrinsic mass lesion.
No intrinsic mucosal lesions were seen but the entire antrum could not be seen
because of the degree of constriction.
There was no peristalsis seen to move into the area of constriction. Because of a
large amount of retained secretions, adequate visualization of the remainder of
the stomach was not attempted.
IMPRESSION:
Malignant disease involving the antrum - constricting the antrum.
Adrian Maison, MD
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