The left upper lobe resection specimens:1. (left upper lobe)Central type malignant tumor. According to the histological and immunophenotypic features, solid adenocarcinoma was considered, with pleural invasion; 2. No cancer tissue was found in bronchial stump; 3. (chest nodule) no cancer tissue was found; 4.Metastatic carcinoma was found in (Group 5) lymph node (1 / 3). No metastatic carcinoma was found inanother (Group 11) lymph node (0 / 1), (left laryngeal reflux) ）lymph node (0 / 2), (Group 7)lymph node, (0 / 8), (Group 9) lymph node (0 / 1) and (Group 11) lymph node (0 / 5).
CK18(+),EMA(++),TTF-1(+),NapsinA(+,a few cells),CK5/6(+,A few cells),Vimentin(+),Ki-67(+,about30%),CK7(+,A few cells),SP-B(-),P63(-),P40(-),Syn(-),CgA(-),CD56(-) CD117(-).
The left upper lobectomy specimen: The volume is 14 * 10 * 3.5cm. There were a grayish yellow mass with partial defect can be seen 0.8cm away from the bronchial stump. The remaining volume is 6 * 5.5 * 4cm. The section is grayish yellow and medium in quality. In addition, four chest nodules with a diameter of 1-2cm are sentfor examination, which is cystic locally.
性别：F
年龄：44
家族历史 ：Parents are alive
血清学检查 ：Serum CEA was slightly higher and NSE was normal
手术方式 ：left upper lobectomy
肿瘤大小： 6 * 5.5 * 4cm four chest nodules with
疾病状态（原发/复发）：primary
G：III
分期：T3N1M0
阶段：IIIA
基因：ROS1
突变位点：PCR
突变类型：fusion
%肿瘤 ：*
%坏死：*
