Lung lobectomy grossing

This article deals with lung lobectomy grossing.

Introduction

Lobectomies are typically done for lung cancer.

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.