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

These operative
reports can be abstracted as follows:
Example F16: 12/15/91. Expl. Laparotomy: Ligation of (R) ureter to
controlbleeding; removal of tumor
impossible because of size and
probable fixation to the diaphragm
and the great vessels. Dx:
Carcinoma of (R) kidney.
ANSWERS
TO QUESTIONS:
1. No. This condition was discovered as part of the pre-operative evaluation.
2. No. This observation is not directly related to the malignancy.
3. Yes. The operative record contains information regarding why the tumor was not
removed. This is useful information and should be recorded. This operation was
performed to correct another condition secondary to the malignant condition (the
ureter was tied to cause blood to back up and clot, thus, preventing further bleeding).
This report is also of interest because it describes the extent of disease.
4. No. There is no mention of removal of tissue.
Example F17: 1/15/91. Abd. exploratory distal gastrectomy, gastroduodenostomy:
Multiple nodules in both
lobes of liver, large
ulcerating lesion antrum of
stomach, multiple nodes
along lesser and greater
curvatures of stomach, and
subpyloric area clinically
positive for tumor. Dx:
Carcinoma of stomach with
metastases to liver.
PRACTICAL
EXERCISE
An example of a two-stage operation for breast cancer is illustrated in Examples F18A and
B. This patient had an excision of a breast tumor during the first procedure and was
returned to surgery for a mastectomy two days later. The findings from the operative
reports of both procedures should be recorded on the abstract. Abstract what you think is
pertinent, then check with the suggested abstraction on page 189.
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