Right middle and lower lobectomy specimen：(middle lobe of right lung) Peripheral invasive lung adenocarcinoma (mainly mural adenocarcinoma) with pleural invasion ,no tumor thrombus and nerve invasion in vessels.2. No cancer tissue is found in bronchial stump; 3、No metastatic carcinoma was found in hilar lymph node (0 / 2), (2R) lymph node (0 / 8), (No. 3 lymph node) showed fibrous and adipose tissue, (No. 4) lymph node (0 / 7), (No. 7) lymph node (0 / 3), (No. 9) lymph node (0 / 2), (Group 10) lymph node (0 / 2), and (Group 11) lymph node (0 / 1).4、Wedge resection (right lower lobe) showed chronic inflammation of bronchus and lung tissue, local vascular proliferation with hyaline degeneration of vascular wall, and no cancer tissue was found.

CK7(+)、NapsinA(+)、TTF-1(+)、P53(+)、Ki-67(5%+)。 Ventana:ALK-L(-)

Right middle and lower lobectomy specimen：(middle lobe of the right lung) The volume is 12.4 * 9.5 * 1.8cm. A gray white hard tumor can be seen 3cm away from the bronchial stump with the volume of 3.5 * 1.5 * 1.0cm, close to the pleura, slightly white, without obvious traction. the surrounding lung tissue is gray red with soft nature. (lower lobe of the right lung) there is a wedge-shaped resection of lung tissue with the volume of 5.5 * 2 * 1cm. A surgical suture can be seen 0.5cm from the end of the suture pin, , and no definite hard tumor is found at the suture. (right lower pulmonary nodule) a small gray red tissue, size: 0.4 * 0.3 * 0.3cm.