Lung wedge resection and lobectomy
Author:
Mikael Häggström [note 1]
Contents
Grossing
Intraoperative consultation
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
- ↑ 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
