Difference between revisions of "Lung lobectomy grossing"
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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 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== | ||
==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: | ||
| Line 17: | Line 21: | ||
*Depth of invasion: ___ cm. | *Depth of invasion: ___ cm. | ||
Distance to margins: | Distance (from tumour) to margins: | ||
*Bronchial: ___ cm. | *Bronchial: ___ cm. | ||
*Vascular: ___ cm. | *Vascular: ___ cm. | ||
| Line 34: | Line 38: | ||
===Protocol notes=== | ===Protocol notes=== | ||
====Staging==== | ====Staging==== | ||
*[[Lung cancer staging]]. | |||
===Alternate approaches=== | ===Alternate approaches=== | ||
Latest revision as of 20:06, 28 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: [smooth/irregular/puckering - size ___ x ___ cm].
Tumour:
- Location: [left/right, upper/middle/lower].
- Dimensions: ___ x ___ x ___ cm.
- Appearance: [solid/cystic].
- Depth of invasion: ___ cm.
Distance (from tumour) 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.