Reading
Practice pronunciation of medical terms by reading the following medical report aloud.
Carcinosarcoma of the Esophagus
ADMITTING DIAGNOSIS:Carcinosarcoma of the esophagus.
DISCHARGE DIAGNOSIS:Carcinosarcoma of the esophagus.
HISTORY OF PRESENT ILLNESS:Patient had been complaining of dysphagia over the last 4 months with a
worsening recently in symptoms.
SURGERY:Esophagoscopy was performed, and a small, friable biopsy specimen was obtained. Pathology tests con-
firmed it to be malignant. A barium x-ray study revealed polypoid, intraluminal, esophageal obstruction. Surgical find-
ings revealed an infiltrating tumor of the middle third of the esophagus with intraluminal, friable, polypoid masses,
each 3 cm in diameter. A resection of the esophagus was performed with reanastomosis of the stomach at the aortic
arch. An adjacent mediastinal lymph node was excised. There were no complications during the procedure. Patient
left the OR in stable condition.
Evaluation
Review the medical report above to answer the following questions. Use a medical dictionary such as Taber’s
Cyclopedic Medical Dictionaryand other resources if needed.
- What surgery was performed on this patient?
- What diagnostic testing confirmed malignancy?
- Where was the carcinosarcoma located?
- Why was the adjacent lymph node excised?
268 CHAPTER 6• Digestive System
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pronunciation and meanings of selected terms in this medical report.