Lymphangiography and Fine Needle Aspiration Biopsy of Opacified Lymph Nodes in the Staging of Patients with Carcinoma of the Prostate
Adenocarcinoma of the prostate frequently metastasises to regional lymph nodes. Because of the prevalence of lymph node metastases and their long-term prognostic significance, in the absence of other evidence of metastatic disease, most staging protocols include some evaluation of pelvic lymph nodes. Many physicians currently favour pelvic lymphadenectomy for this purpose. However, the morbidity (as high as 20%–30% in some series) [1–4] and expense of this procedure have limited its acceptance. Other institutions have advocated lymphangiography (LAG) as an alternative to lymph node dissection (LND) for the staging of carcinoma of the prostate [5–7].
KeywordsGleason Score Pelvic Lymph Node Fine Needle Aspiration Biopsy Pelvic Lymph Node Dissection Pelvic Lymphadenectomy
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