Peter McCallum Cancer Centre 305-Grattan st
Melbourne VIC 3000
11 July 2017
Re:Mr Bruce Brew, aged 30
I am writing with regard to Mr Brew, who has been diagnosed with stage 3 esophageal cancer. He requires urgent assessment and management at your facility.
On 6 July 2017,Mr Brew was admitted to hospital with complaints of difficulty in swallowing for the past 4-5 months and gnawing apin below the sternum. However, pale appearance, malnourished, distressed and epigastric tenderness on palpation have been noticed. Based on this, he has underwent endoscopy, biopsy and barium meal as well as this, he had been administered oxycodone in 0.9% saline and 5% dextrose as needed.
Pertaining to his medical and social background, he has been suffering from gastric reflux since 2001. In addition, weight loss of 10 kg over the past 6 months and weakness in daily routine activities have been reported. Besides this, he consumes alcohol upto 50 can beers per week.
Upon transfer, he has been acknowledged with the diagnosis of stage 3 gastroesophageal cancer and probably needs surgery or radiotherapy treatment.
In case of additional information, please do not hesitate to contact me.