Lung wedge resection and lobectomy: Difference between revisions
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→Grossing: +Palpate for tumors intermittently. |
→Grossing: Updated |
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:*Any '''involvement''' of major bronchi or blood vessels. | :*Any '''involvement''' of major bronchi or blood vessels. | ||
*Describe any '''lymph nodes''', including location, range of sizes and appearance of cut surface. | *Describe any '''lymph nodes''', including location, range of sizes and appearance of cut surface. | ||
===Tissue selection=== | |||
*1 from bronchial and vascular margins, ''[[en face]]'' | |||
*1 from nearest parenchymal margin, en face | |||
*Sections of any tumor | |||
*Any other focal change | |||
*1 from normal lung parenchyma | |||
===Gross report=== | ===Gross report=== | ||
{{Report-begin|fresh=yes|intraop=yes}} a | {{Report-begin|fresh=yes|intraop=yes}} of a right upper lobe of lung which measures __ x __ x __ cm and weighs __ g. The specimen includes a bronchial stump measuring __ cm in length and __ cm in diameter, which grossly appears unremarkable. The pleural surface is mottled tan-pink {{Finding-begin}}and slightly puckered on the __ aspect{{Finding-end}}. There is a staple line representing the parenchymal margin measuring __ cm in length. The stapled margin is inked black. {{Moderate-begin}}On opening the bronchial tree, the mucosa is tan and smooth and the lumens are patent. The blood vessels are opened to reveal no blood clot or tumor.{{Moderate-end}} {{Finding-begin}}Cut section show an irregular, gray-tan, rubbery firm mass measuring __ x __ x __ cm. The tumor is located __ cm from the bronchial and vascular margin and __ cm from the nearest surgical margin. The tumor abuts smaller bronchi and vessels.{{Finding-end}} The remaining parenchyma is pink and spongy. {{Moderate-begin}}No lymph nodes are identified in the peribronchial region.{{Moderate-end}}{{Report-end}} | ||
<gallery mode=packed heights=190> | <gallery mode=packed heights=190> | ||