Difference between revisions of "Lung tumor"

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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.
 
*Describe any included '''pleural surface''', including color, and any presence of granularity, adhesions, retraction, or tumor.
 
*{{Moderate-begin}}[[Ink]] the surgical margin.{{Moderate-end}}
 
*Serially '''section''' the specimen. Describe the cut surface, including color and consistency, and any focal lesions.
 
*Measure '''tumor size''' as a maximum diameter {{Moderate-begin}}or 3 dimensions{{Moderate-end}}
 
*Determine '''location''': Which lobe if applicable, and if it is peripheral, central or hilar.
 
*'''Margin''' length to pleura and hilum/surgical margin.
 
*Any '''involvement''' of major bronchi or blood vessels.
 
*Any abnormal '''lymph nodes''', including hilar ones if available.
 
Photograph all tumors.
 
 
 
===Gross report===
 
{{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}}
 
 
 
<gallery mode=packed heights=190>
 
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.
 
[[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.]]
 
</gallery>
 
  
 
==Microscopic evaluation==
 
==Microscopic evaluation==

Revision as of 11:58, 19 March 2021

Author: Mikael Häggström [note 1]

Comprehensiveness

On this resource, the following formatting is used for comprehensiveness:

  • Minimal depth
  • (Moderate depth)
  • ((Comprehensive))

Presentations

Gross processing

As per presentation above.

Microscopic evaluation

Medical imaging provides a major clue as to whether a lung tumor is benign or malignant, where lesions smaller than 2 cm are likely to be benign, whereas lesions larger than 2 cm are malignant (that is, lung cancer) in 85% of cases.[1]

Subsequently distribution of benign tumors and lung cancers, respectively, are as follows:[1]

Lung cancers by relative incidence.

Benign lung tumors:

  • Hamartomas - 76%
  • Benign fibrous mesothelioma/solitary fibrous tumor (SFT) - 12.3%
  • Inflammatory pseudotumor (IPT) - 5.4%
  • Lipoma - 1.5%
  • Leiomyoma - 1.5%
  • Other - 3.3%

Gallery of lung cancers

Notes

  1. For a full list of contributors, see article history. Creators of images are attributed at the image description pages, seen by clicking on the images. See Patholines:Authorship for details.

Main page

References

  1. 1.0 1.1 Alain C. Borczuk (2008). "Benign Tumors and Tumorlike Conditions of the Lung ". Archives of Pathology & Laboratory Medicine 132 (7). Archived from the original. . 
  2. Dr Nicholas Turnbull, A/Prof Patrick Emanual (2014-05-03). Squamous cell carcinoma pathology. DermNetz.

Image sources