Basic autopsy cutting
In non-forensic Autopsy:
- The lungs may be cut after removing the heart through cutting through the major vessels close to it, or by removing each lung by cuts by each lung hilum.
- Dissect the pulmonary arterial system, from the pulmonary trunk and including at least segmental arteries.
- Dissect the bronchial tree, at least to segmental bronchi. Check for obstructions.
- Weigh each lung (possibly first if having cut each lung at the hilus).
- Make some additional sections through the lung parenchyma. Squeeze at each side to detect any pus and edema.
- For context, see Autopsy
- A spongy consistency, and watery and frothy liquid being pressed from the parenchyma, indicates simple edema.
- A spongy consistency and reddish (blood-stained) fluid being pressed from the parenchyma, indicates acute congestion.
- A brownish or dark reddish color of the fluid pressed from the parenchyma indicates chronic congestion, and may not have a spongy consistency.
Generally 10% neutral buffered formalin.
See also: General notes on fixation
- Alveolar fluid. Further information: Alveolar fluid
- Vascular congestion, which can usually be seen easiest in the alveolar walls. It indicates left sided heart failure, especially when seen together with alveolar fluid.
- Inflammatory cells, where a mild to moderate lymphocytic infiltrate is consistent with with heart failure, while neutrophils indicate pneumonia.
- Mycobacteria in regions of the world with substantial prevalence
- Carcinoma Further information: Lung tumor
- Aspiration: Other foreign contents in airways. Further information: Aspiration in autopsy
Carcinoma (in this case bronchioloalveolar cell adenocarcinoma) Further information: Lung tumor
- Left sided heart failure:
Additional potential findings are mentioned in the general Lungs article.
Report findings and if they are consistent with already known diagnoses.
Further information: Autopsy
- Objectively, siderophage-like cells would be reported as "brown pigment-containing macrophages", but can be presumed to be siderophages in this context.
- Burton, Julian L.; Rutty, Guy N. (2010). The Hospital Autopsy A Manual of Fundamental Autopsy Practice (3rd ed.). Oxford University Press. ISBN 978-0340965146.
- page 62 in: J. Martin Beattie (2014). Post-Mortem Methods . Cambridge University Press. ISBN 9781107418004.
- Molina, D. Kimberley; DiMaio, Vincent J.M. (2012). "Normal Organ Weights in Men ". The American Journal of Forensic Medicine and Pathology 33 (4): 368–372. doi:10.1097/PAF.0b013e31823d29ad. ISSN 0195-7910.
- Molina, D. Kimberley; DiMaio, Vincent J. M. (2015). "Normal Organ Weights in Women ". The American Journal of Forensic Medicine and Pathology 36 (3): 182–187. doi:10.1097/PAF.0000000000000175. ISSN 0195-7910.
- India: Tiwana, Kanwardeep Kaur; Nibhoria, Sarita; Gupta, Manvi; Yadav, Ashish (2014). "Histopathological Spectrum in Lung Autopsies- A 50 Case Study ". Indian Journal of Forensic Medicine & Toxicology 8 (2): 172. doi:10.5958/0973-9130.2014.00709.9. ISSN 0973-9122.
- United States: Dr. Stanley Adams. Pulmonary Lung Conditions Found at Autopsy. Washington Forensic Services. Retrieved on 2019-12-20.
- . Congestion. Humpath (2005-12-19).
- Madea, B (2014). Handbook of forensic medicine . Hoboken, N.J: Wiley-Blackwell. ISBN 978-1-118-57062-3. OCLC 872114659.