Difference between revisions of "Lung lobectomy grossing"

From Libre Pathology
Jump to navigation Jump to search
Line 37: Line 37:
===Protocol notes===
===Protocol notes===
====Staging====
====Staging====
*[[Lung cancer staging]].
===Alternate approaches===
===Alternate approaches===



Revision as of 16:21, 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: [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

  1. 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.

External links