Download Casefinding Exercises - Kentucky Cancer Registry

CASEFINDING EXERCISES FOR NEW REGISTRARS
For each of the following case presentations, circle “YES” or “NO” as to whether you would
enter the case into your hospital registry.
1. Patient is admitted to outpatient surgery with complaint of “growth on my tongue”.
Incisional biopsy revealed squamous cell carcinoma of the base of the tongue. Radiation
therapy is recommended but patient does not return.
Yes
No
2. Patient with biopsy-proven malignant melanoma enters your hospital as outpatient for
wide excision. Pathology report from initial biopsy is not available. At the time of wide
excision, no residual tumor is found in the specimen.
Yes
No
3. Patient is admitted with symptoms suggestive of pancreatic carcinoma. An exploratory
laparotomy, without biopsy, confirms the diagnosis. No treatment recommendations
are made and patient is sent home.
Yes
No
4. Patient undergoes outpatient bone scan in radiology department on 08/16/15 and the
scan is positive for bone metastases. Routine path screening turns up a prostate needle
biopsy dated 08/10/15 from an outside specimen sent to your hospital lab from an
urologist’s office positive for adenocarcinoma.
Yes
No
5. The same patient is treated with radiation at your facility for bone metastases.
Yes
No
6. The pathology report says: Prostate biopsy with markedly abnormal cells that are typical
of adenocarcinoma.
Yes
No
7. The final diagnosis on the outpatient report reads: Rule out pancreatic cancer.
Yes
No