How are lymph nodes prepared for pathological exam following mediastinal lymphadenectomy?

Updated: Dec 10, 2019
  • Author: R James Koness, MD, FACS; Chief Editor: Erik D Schraga, MD  more...
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Answer

Complete resection of the lung includes resecting all lobar and interlobar lymph nodes. After resection of the lung or lobe and mediastinal lymph nodes, the specimen should be examined. The lymph node stations are labeled and oriented for full pathologic review.

Mediastinal lymph node dissection can be done en bloc with the lobe or lung to be removed, but this is not absolutely necessary. Regardless, labeling and communication with pathology is essential to ensure accurate staging.


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