Lung lobectomy grossing

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This article deal with lung lobectomy grossing.

Introduction

Lobectomies are typically done for lung cancer.

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

External links