Lung wedge resection and lobectomy: Difference between revisions
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*Cut open the '''bronchi''' of the specimen with a pair of scissors, as far as they can fit within the lumina. Attempt to cut so as to be able to take a section that includes both any tumor and nearest bronchus. Palpate for tumors intermittently. Describe the cut surface, including color and consistency, and any focal lesions. | *Cut open the '''bronchi''' of the specimen with a pair of scissors, as far as they can fit within the lumina. Attempt to cut so as to be able to take a section that includes both any tumor and nearest bronchus. Palpate for tumors intermittently. Describe the cut surface, including color and consistency, and any focal lesions. | ||
*Turn the specimen to the side with least cuts so far, and '''serially section''' it. Palpate for tumors intermittently. | *Turn the specimen to the side with least cuts so far, and '''serially section''' it. Palpate for tumors intermittently. | ||
{|class=wikitable align=right | |||
|+Initial measurements when<br> triaging fresh lobectomies<ref group=notes>When triaging a lobectomy for later grossing, measurements are most important as these may change after fixation. Other descriptions can be made upon tissue selection from the fixed specimen.</ref> | |||
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*Size of lobe in 3 dimenstions | |||
*Size of tumor {{Moderate-begin}}in 3 dimensions{{Moderate-end}} | |||
*{{Moderate-begin}}Weight{{Moderate-end}} | |||
*Distance from tumor to closest<br> parenchymal, bronchial and vascular margins | |||
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*For any found '''[[lung tumor]]''': | *For any found '''[[lung tumor]]''': | ||
:*Measure '''tumor size''' as a maximum diameter {{Moderate-begin}}or 3 dimensions{{Moderate-end}} | :*Measure '''tumor size''' as a maximum diameter {{Moderate-begin}}or 3 dimensions{{Moderate-end}} | ||