SEER Training Modules
Case #2
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X-Rays & Scans
09/06/XX
Abd CT: 4.0 cm mass posterior aspect of body of pancreas suspicious for malignancy. Mass infiltrates celiac axis as well as proximal hepatic artery. Marked narrowing is seen of distal splenic vein and portal vein. No adenopathy seen. Small bilateral pleural effusions and a subcapsular fluid collection surrounding the spleen. Numerous low density lesions in liver c/w cysts.
09/08/XX
MRI - enlarging subcapsular hematoma in spleen.
09/08/XX
Chest X-Ray: negative for malignancy.
Pathological Reports
09/06/XX
Fine needle biopsy body of pancreas lesion: adenocarcinoma.
Treatment
09/20/XX
Chemotherapy: Started chemotherapy (5-FU) concurrent with radiation therapy.
09/20/XX
Radiation: 18 MV IMRT, 45 Gy, 1.8 Gy fraction for 25 fractions to the abdomen. Boost dose 18 MV IMRT, 5.4 Gy, 1.8 Gy fraction for 3 fractions, total dose 50.4 Gy.
