Lung wedge resection and lobectomy: Difference between revisions
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==Microscopic evaluation== | ==Microscopic evaluation== | ||
Look mainly for '''carcinoma'''. {{further|Lung tumor|linebreak=no}} | Look mainly for '''carcinoma'''. {{further|Lung tumor|linebreak=no}} | ||
==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> | |||
*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== | ==Microscopy report== | ||
Revision as of 09:47, 17 March 2021
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
- ↑ 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