Difference between revisions of "Lung wedge resection and lobectomy"
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==Grossing== | ==Grossing== | ||
Perform the following:<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> | Perform the following:<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> | ||
| + | *'''Measure''' the specimen in 3 dimensions. | ||
*Describe '''pleural surface''', including color, and any presence of granularity, adhesions, retraction, or tumor. | *Describe '''pleural surface''', including color, and any presence of granularity, adhesions, retraction, or tumor. | ||
*Serially '''section''' the specimen. Describe the cut surface, including color and consistency, and any focal lesions. For tumors, see '''[[Lung tumor]]''' | *Serially '''section''' the specimen. Describe the cut surface, including color and consistency, and any focal lesions. For tumors, see '''[[Lung tumor]]''' | ||
Revision as of 09:54, 17 March 2021
Author:
Mikael Häggström [note 1]
Contents
Grossing
Perform the following:[1]
- Measure the specimen in 3 dimensions.
- Describe pleural surface, including color, and any presence of granularity, adhesions, retraction, or tumor.
- Serially section the specimen. Describe the cut surface, including color and consistency, and any focal lesions. For tumors, see Lung tumor
- Describe any lymph nodes, including location, range of sizes and appearance of cut surface.
Microscopic evaluation
Look mainly for carcinoma. Further information: Lung tumor
Microscopy report
Lung synoptic reports contain information (number and station) on all lymph nodes received per accession. For example, if Parts A-D are mediastinal nodes (8 in total) and Part E is a lobectomy containing 2 additional peribronchial nodes, the synoptic report for Part E should document all 10 nodes, for example:
A. Lymph node, station 1:
Negative for carcinoma. (0/1, 2 etc)
B. Lymph node, station 2:
Negative for carcinoma. (0/1, 2 etc)
C. Lobectomy, RLL: Adenocarcinoma
- Size:
- Histologic type
- Margins
Notes
- ↑ 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
- ↑ . Pulmonary pathology grossing guidelines. Retrieved on 2021-03-17.
Image sources
