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| ==Gross processing== | | ==Gross processing== |
| In tumor resection:<ref>{{cite web|url=https://www.uclahealth.org/pathology/workfiles/Education/Residency%20Program/Gross%20Manual/Wedge%20Resection.pdf|title=Pulmonary pathology grossing guidelines|accessdate=2021-03-17}}</ref>
| | As per presentation above. |
| *'''Measure''' the specimen in 3 dimensions.
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| *Describe any included '''pleural surface''', including color, and any presence of granularity, adhesions, retraction, or tumor.
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| *{{Moderate-begin}}[[Ink]] the surgical margin.{{Moderate-end}}
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| *Serially '''section''' the specimen. Describe the cut surface, including color and consistency, and any focal lesions.
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| *Measure '''tumor size''' as a maximum diameter {{Moderate-begin}}or 3 dimensions{{Moderate-end}}
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| *Determine '''location''': Which lobe if applicable, and if it is peripheral, central or hilar.
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| *'''Margin''' length to pleura and hilum/surgical margin.
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| *Any '''involvement''' of major bronchi or blood vessels.
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| *Any abnormal '''lymph nodes''', including hilar ones if available.
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| Photograph all tumors.
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| ===Gross report===
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| {{Report-begin|fresh=yes|intraop=yes}} a wedge-shaped piece of lung which measures __ cm and has a staple line along one aspect measuring __ cm in length. The stapled surgical margin is inked black. The visceral pleura is mottled tan-pink and slightly puckered in the center. Cut sections show a tan, soft, tumor measuring __ cm in greatest dimension, located __ cm from the visceral pleura and __ cm from the surgical margin. The remaining parenchyma is pink and spongy.{{Report-end}}
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| <gallery mode=packed heights=190>
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| File:Squamous cell carcinoma involving a subsegmental bronchus.jpg|'''Squamous cell carcinoma''' involving a subsegmental bronchus with distal chronic obstructive pneumonia. The tumor is seen as a rounded nodule, approximately 2 cm in diameter, proximal to a more irregular focus of chronic obstructive pneumonia with fibrosis.
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| [[File:Large cell carcinoma of the lung.jpg|thumb|'''Large cell carcinoma''', with a large multilobulated tumor adjacent to the hilum. A metastatically involved lymph node is present next to the bronchus.]]
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| </gallery>
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| ==Microscopic evaluation== | | ==Microscopic evaluation== |