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

EXAMPLE F9
BRONCHOSCOPY
REPORT
Hospital No. 000027 Name Sophie Carina Service ENT
Sex Female Age 61 Race White Date of Operation 10/1/91
Clinical Diagnosis Esophageal Carcinoma
Procedure Esophagoscop¥ and Bronehoscopy Anesthetic 4% Xyloc
Larynx:
Pharynx:
Normal, V/C OK
Normal
Trachea: Extensive fungating encircling neoplastic-appearing tissue predom, on (L),
invol, distal 1/4 of trach, down to and incl. trach. @ level of earina.
Carina massively widened and fixed but no ulcerative tissue noted.
Orifices of both MSB markedly narrowed due to wide fixed carina. Both
proximal MSB fiery red and prob. involved in some neoplastic process in
distal trachea, esp. on left. Adequate view of both bronchial trees not
possible.
Right Bronchus:
Left Bronchus:
Esophagus:
Esophagus normal down to 21 cm from the upper ant. alveolar ridge
where circumferential necrotic hard mass with irregular eccentric lumen
seen along with small tongue of edematous tissue post. and somewhat to
(R). Scope would not pass through lesion, but Bx forceps were slipped
by lesion 2.9 cm distal to edge of lesion.
1. Bx carina & (L) trach, wall
2. Trach. wash.
3. Bx esoph, lesion
Diagnosis:
Impression Carcinoma of the esoph with involv, of trachea
Remarks:
Endoscopist Morris de Bronchi, MD Assistant Wright Hand, MD
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