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

Example F10: 5/5/91. Bronchoscopy: Pharynx, V/C, trachea, carina and left
bronchus--normal. RUL bronchus and (R)
bronchus intermedius occluded. Bx's taken.
Imp: Carcinoma involving RUL and (R) bronchus
intermedius.
Comments:
a. From the information on this report, you know that a pathology report should exist
describing the three biopsies.
b. Friable means easily pulverized or crumbled.
c. RUL means right upper lobe; WNL means within normal limits.
Example Flh 6/10/91. Esophagoscopy: Larynx and pharynx normal. Carcinoma of
esophagus at 18 cm. Bx taken.
Comments:
a. Not much that you can abstract from this report, but it does confirm the diagnosis and
establish the location of the lesion at 18 cm which is in the upper esophagus. You should
check for the presence of a pathology report, since a biopsy was taken.
b. You will note that the esophagoscopy report appears on a bronchoscopy report form. If
both procedures are required, they may be done at the same time, as in Example F12.
Example F12: 11/18/91. Esophagoscopy and Bronchoscopy:
Constricting, friable area of esophagus at 27 cm. Bx taken. Larynx,
pharynx, trachea, carina and (R) bronchus--normal. Dx: Carcinoma of
esophagus.
Comment:.. In this and previous reports, the diagnostic statement is based on a clinical
impression. As part of most endoscopic examinations, one or more biopsies will be
taken to confirm or negate this impression.
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