Lung wedge resection and lobectomy: Difference between revisions

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==Grossing==
==Grossing==
===Intraoperative consultation===
[[File:Gross pathology of surgical margin sampling in lobectomy.jpg|thumb|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:<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

File:Gross pathology of surgical margin sampling in lobectomy.jpg
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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