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. If the margin is substantially stapled (and their removal would be either too tissue-damaging or otherwise inconvenient), ink and use another section of the tissue underneath it for frozen sectioning.
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
