Right middle lobectomy specimen：1. (middle lobe of right lung) central type invasive adenocarcinoma, mainly solid, with tumor tissue invading pleura; 2. No cancer tissue found in bronchial stump; 3. metastatic carcinoma was found in hilar lymph node (1 / 1), (Group 12) lymph nodes (4 / 4), (group 1) lymph nodes (1 / 4), (Group 7) lymph nodes (8 / 10), (Group11) lymph nodes (1 / 3), (group4) lymph nodes(1 / 5) and (group 2) lymph nodes (4 / 5).
CK7(++),TTF-1(++),NapsinA(++),Ki-67(+),CK5/6(-),P40(-),Syn(-),CgA(-),CD56(-),Vimentin(-),S-100(-),CD34(-).
Right middle lobectomy specimen： A central tumor with a volume of 4 * 4 * 3cm can be seen at 2cm away from the bronchial stump, the section is grayish yellow and medium in quality.
Gender：M
Age：33
family history ：Parents are alive
Serological examination ：_
surgical mode ：Right middle lobectomy
Tumor size： 4 * 4 * 3cm
Disease status(primary/relapse)：primary
G：II-III
TNM：T2bN3M0
Stage：IIIB
Gene：ROS1
Mutant Site：PCR
Mutation Type：fusion
% tumor ：*
% necrosis：*
