The right upper lobe resection specimens: 1. (right upper lobe) peripheral invasive adenocarcinoma, mainly acinar, the cancer tissue invaded the pleura; 2. No cancer tissue was found in the bronchial stump; 3. Metastatic carcinoma was found in the para bronchial lymph nodes (1 / 4) and the (groups 2 、 4) lymph nodes (1 / 3)； No metastasis was found in lymph nodes (0 / 1).
CK7(++),CK18(++),TTF-1(++),SPB(++),NapsinA(++),ki-67(+,about 8%),CK5/6(-),P63(-),P40(-),Syn(-),CgA(-),CD56(-),Vimentin(-).
The right upper lobectomy specimen was sent for examination. A peripheral tumor with a volume of 2 * 1.5 * 0.5cm can be seen at 0.6cm away from the bronchial stump, and the section is gray white and grayish yellow.
Gender：F
Age：55
family history ：Dad died of cerebral hemorrhage
Serological examination ：_
surgical mode ：Right upper lobectomy
Tumor size：2 * 1.5 * 0.5cm
Disease status(primary/relapse)：primary
G：II
TNM：T1cN2M0
Stage：IIIA
Gene：ROS1
Mutant Site：PCR
Mutation Type：fusion
% tumor ：*
% necrosis：*
