Difference between revisions of "Lung lobectomy grossing"
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==Introduction== | ==Introduction== | ||
Lobectomies are typically done for [[lung cancer]]. | Lobectomies are typically done for [[lung cancer]]. | ||
It is an intermediate size operation between pneumonectomy (removal of the whole lung) and segmentectomy (removal of a segment of a lobe).<ref name=pmid30409440>{{Cite journal | last1 = Roman | first1 = M. | last2 = Labbouz | first2 = S. | last3 = Valtzoglou | first3 = V. | last4 = Ciesla | first4 = A. | last5 = Hawari | first5 = M. | last6 = Addae-Boateng | first6 = E. | last7 = Thorpe | first7 = JA. | last8 = Duffy | first8 = JP. | last9 = Majewski | first9 = A. | title = Lobectomy vs. segmentectomy. A propensity score matched comparison of outcomes. | journal = Eur J Surg Oncol | volume = | issue = | pages = | month = Nov | year = 2018 | doi = 10.1016/j.ejso.2018.10.534 | PMID = 30409440 }}</ref> | |||
==Specimen opening== | ==Specimen opening== | ||
Revision as of 16:39, 17 December 2018
This article deals with lung lobectomy grossing.
Introduction
Lobectomies are typically done for lung cancer.
It is an intermediate size operation between pneumonectomy (removal of the whole lung) and segmentectomy (removal of a segment of a lobe).[1]
Specimen opening
Protocol
Lobectomy specimen:
- Overall specimen dimensions: ___ x ___ x ___ cm.
- Bronchus: ___ cm.
- Peribronchial lymph nodes: [number].
- Pleura: [appearance].
Tumour:
- Location: [left/right, upper/middle/lower].
- Dimensions: ___ x ___ x ___ cm.
- Appearance: [solid/cystic].
- Depth of invasion: ___ cm.
Distance to margins:
- Bronchial: ___ cm.
- Vascular: ___ cm.
- Parenchymal: ___ cm.
- Pleura: ___ cm.
- Uninvolved parenchyma: [description].
Representative sections are submitted in cassettes as follows:
- Bronchial and vascular margin - en face.
- Parenchymal margin.
- Tumour.
- Non-tumour pathology: [none, belb/bulla, consolidation (___ x ___ cm), other: ___].
- Uninvolved lung parenchyma.
Protocol notes
Staging
Alternate approaches
See also
Related protocols
References
- ↑ Roman, M.; Labbouz, S.; Valtzoglou, V.; Ciesla, A.; Hawari, M.; Addae-Boateng, E.; Thorpe, JA.; Duffy, JP. et al. (Nov 2018). "Lobectomy vs. segmentectomy. A propensity score matched comparison of outcomes.". Eur J Surg Oncol. doi:10.1016/j.ejso.2018.10.534. PMID 30409440.