Difference between revisions of "Lung wedge resection and lobectomy"

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==Grossing==
 
==Grossing==
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===Intraoperative consultation===
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[[File:Gross pathology of surgical margin sampling in lobectomy.jpg|thumb|Surgical margin sampling in lobectomy]]
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Unless otherwise requested, [[ink]] the '''surgical margin''' closest to the tumor and perform [[frozen sectioning]] of the tissue enface, for radicality.
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===Non-intraoperative consultation===
 
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.
 
*'''Measure''' the specimen in 3 dimensions.

Revision as of 14:21, 17 March 2021

Author: Mikael Häggström [note 1]

Grossing

Intraoperative consultation

Surgical margin sampling in lobectomy

Unless otherwise requested, ink the surgical margin closest to the tumor and perform frozen sectioning of the tissue enface, for radicality.

Non-intraoperative consultation

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

  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. ↑ . Pulmonary pathology grossing guidelines. Retrieved on 2021-03-17.

Image sources


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