Lung wedge resection and lobectomy

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Revision as of 09:47, 17 March 2021 by Mikael Häggström (talk | contribs) (+Grossing)
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Author: Mikael Häggström [note 1]

Microscopic evaluation

Look mainly for carcinoma. Further information: Lung tumor

Grossing

Perform the following:<ref>. Pulmonary pathology grossing guidelines. Retrieved on 2021-03-17.<ref>

  • 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.

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.

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References


Image sources


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