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

Example F8: 2/26/91. Gastroscopy: Antrum constricted by an extrinsic mass lesion. No
intrinsic mucosal lesions seen. Imp: Malignant disease
involving antrum.
Comments:
a. Intrinsic means situated entirely within or pertaining exclusively to a part, in this ease
the lining of the stomach.
b. Extrinsic means situated on the outside; coming from or originating outside; having
relation to parts outside the organ in which found.
Example F9: 10/1/91. Bronchoscopy: Encircling neoplastic-appearing tissue involving
distal 1/4 of trachea down to carina. Carina
massively widened and timed. Both proximal MSB
probably involved.
10/1/91. Esophagoscopy: Circumferential mass in esophagus at 21 cm.
Multiple Bx's, tracheal washings. Imp- Carcinoma
of esophagus involving trachea.
Comments:
a. The essential problem in abstracting this report is to properly select and combine the
important points in the description. You need a statement describing something
about both the esophagus and the trachea. Also, probable involvement of the
bronchi should be mentioned. Then, you should try to describe the lbcation of'the
tumor. The tumor in the trachea involves the distal 1/4 of trachea. The esophageal
lesion is at 21 cm.
b. V.C. means vocal cords; MSB means main stem bronchus. In the space titled
"Procedure" the M.D. has written "Esophagoscopy and Bronchoscopy" to indicate
that two procedures were done. You will also frequently encounter abbreviations
such as (L) for left and ant. for anterior.
c. Measurements are routinely made from incisors (upper anterior alveolar ridge). It
is not necessary to abstract this information.
d. "Tracheal washings" alerts the abstractor to look for a cytology report.
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