Lung lobectomy grossing: Difference between revisions
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This article | [[Image:VATS_02.jpg|thumb|Lobectomy specimen in the operating room. (WC)]] | ||
This article deals with '''[[lung]] lobectomy grossing'''. | |||
==Introduction== | ==Introduction== | ||
Lobectomies are typically done | 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== | ||
==Protocol== | ==Protocol== | ||
Lobectomy specimen: | |||
*Overall specimen dimensions: ___ x ___ x ___ cm. | *Overall specimen dimensions: ___ x ___ x ___ cm. | ||
*Bronchus: ___ cm. | *Bronchus: ___ cm. | ||
*Peribronchial lymph nodes: [number]. | *Peribronchial lymph nodes: [number]. | ||
*Pleura: [ | *Pleura: [smooth/irregular/puckering - size ___ x ___ cm]. | ||
Tumour: | Tumour: | ||
*Location: [left/right, upper/middle/lower]. | *Location: [left/right, upper/middle/lower]. | ||
*Dimensions: ___ x ___ x ___ cm. | *Dimensions: ___ x ___ x ___ cm. | ||
*Appearance: [solid/cystic] | *Appearance: [solid/cystic]. | ||
*Depth of invasion: ___ cm. | *Depth of invasion: ___ cm. | ||
Distance to margins: | Distance (from tumour) to margins: | ||
*Bronchial: ___ cm. | *Bronchial: ___ cm. | ||
*Vascular: ___ cm. | *Vascular: ___ cm. | ||
*Parenchymal: ___ cm. | *Parenchymal: ___ cm. | ||
*Pleura: ___ cm. | *Pleura: ___ cm. | ||
*Uninvolved parenchyma: [description]. | *Uninvolved parenchyma: [description]. | ||
Representative sections are submitted in cassettes as follows: | 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=== | ===Protocol notes=== | ||
====Staging==== | ====Staging==== | ||
*[[Lung cancer staging]]. | |||
===Alternate approaches=== | ===Alternate approaches=== | ||