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Lymphangiography and Fine Needle Aspiration Biopsy of Opacified Lymph Nodes in the Staging of Patients with Carcinoma of the Prostate

  • R. Kidd
  • R. CorreaJr.

Abstract

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].

Keywords

Gleason Score Pelvic Lymph Node Fine Needle Aspiration Biopsy Pelvic Lymph Node Dissection Pelvic Lymphadenectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Wajsman Z (1981) Lymph node evaluation in prostate cancer: is pelvic lymph node dissection necessary? Urology 17(Suppl):80–82PubMedGoogle Scholar
  2. 2.
    Babcock JR, Grayhack JT (1979) Morbidity of pelvic lymphadenectomy. Urology 13:483–486PubMedCrossRefGoogle Scholar
  3. 3.
    Fowler JE Jr, Barzell W, Hilaris BS, Whitmore WF Jr (1979) Complications of 125 iodine implantation and pelvic lym-phadenectomy in the treatment of prostatic cancer. J Urol 121:447–451PubMedGoogle Scholar
  4. 4.
    Frieha FS, Pistenma DA, Bagshaw MA (1979) Pelvic lym-phadenectomy for staging of prostatic carcinoma: is it always necessary? J Urol 122:176–177Google Scholar
  5. 5.
    Johnson DE, von Eschenbach AC (1981) Roles of lymphangiography and pelvic lymphadenectomy in staging prostate cancer. Urology 17(Suppl):66–81PubMedCrossRefGoogle Scholar
  6. 6.
    Spellman MC, Castellino RA, Ray GR, Pistenma DA, Bagshaw MA (1977) An evaluation of lymphography in localized carcinoma of the prostate. Radiology 125:637–644PubMedGoogle Scholar
  7. 7.
    Correa RJ Jr, Kidd R, Burnett L, Brannen GE, Gibbons RP, Cummings KB (1981) Percutaneous pelvic lymph node aspiration in carcinoma of the prostate. J Urol 126:190–191PubMedGoogle Scholar
  8. 8.
    Hoekstra WJ, Schroeder FH (1981) The role of lymphangiography in the staging of prostatic cancer. Prostate 2:433–440PubMedCrossRefGoogle Scholar
  9. 9.
    Göthlin JH (1976) Post-lymphographic percutaneous fine needle biopsy of lymph nodes guided by fluoroscopy. Radiology 120:205–207PubMedGoogle Scholar
  10. 10.
    Kidd R, Freeny PC, Bartha M (1979) Single pass fine-needle aspiration biopsy. AJR 113:333–334Google Scholar
  11. 11.
    Kidd R, Crane RD, Dail DH (1984) Lymphangiography and fine needle aspiration biopsy: ineffective for staging early prostate cancer. AJR 141:1007–1012Google Scholar
  12. 12.
    Kidd R, Correa R Jr (1984) Fine-needle aspiration biopsy of lymphangiographically normal lymph nodes: a negative view. AJR 141:1005–1006Google Scholar
  13. 13.
    Donohue RE, Fauver HE, Whitesel JA, Augspurger RR, Pfister RR (1981) Prostatic carcinoma: influence of tumor grade on results of pelvic lymphadenectomy. Urology 17:435–440PubMedCrossRefGoogle Scholar
  14. 14.
    Wilson CS, Dahl DS, Middleton RG (1977) Pelvic lymphadenectomy for the staging of apparently localized prostatic cancer. J Urol 117:197–198PubMedGoogle Scholar
  15. 15.
    McLaughlin AP, Saltzstein SL, McCullough DL, Gittes RF (1976) Prostatic carcinoma: incidence and location of unsuspected lymphatic metastases. J Urol 115:89–99PubMedGoogle Scholar
  16. 16.
    Paulson DF, Uro-Oncology Research Group (1979) The impact of current staging procedures in assessing disease extent of prostatic adenocarcinoma. J Urol 121:300–302Google Scholar
  17. 17.
    Prando A, Wallace S, von Eschenbach AC, Jing BS, Rosengren JE, Hussey DH (1979) Lymphangiography in staging of carcinoma of the prostate. The potential value of percutaneous lymph node biopsy. Radiology 131:641–645PubMedGoogle Scholar
  18. 18.
    Merrin C, Wajsman ZM, Baumgartner G, Jennings E (1977) The clinical value of lymphangiography: are the nodes surrounding the obturator nerve visualized? J Urol 117:762–764PubMedGoogle Scholar
  19. 19.
    Zoretic SN, Wajsman Z, Beckley SA, Pontes JE (1983) Filling of the obturator nodes in pedal lymphangiography: fact or fiction. J Urol 129:533–535PubMedGoogle Scholar
  20. 20.
    Göthlin JH, Höiem L (1981) Percutaneous fine-needle biopsy of radiographically normal lymph nodes in the staging of prostatic carcinoma. Radiology 141:351–354PubMedGoogle Scholar
  21. 21.
    Wajsman Z, Gamarra M, Park JJ, Beckley S, Pontes JE (1982) Transabdominal fine needle aspiration of retroperitoneal lymph nodes in staging of genitourinary tract cancer (correlation with lymphography and lymph node dissection findings). J Urol 128:1238–1240PubMedGoogle Scholar
  22. 22.
    Gleason DF, Mellinger GT, VA Cooperative Urological Research Group (1974) Prediction of prognosis for prostatic adenocarcinoma by combined histologic grading and clinical staging. J Urol 111:58–64PubMedGoogle Scholar
  23. 23.
    Zencke H, Farrow GM, Myers RP, Benson RC Jr, Furlow WL, Utz DC (1982) Relationship between grade and stage of adenocarcinoma of the prostate and regional pelvic lymph node metastases. J Urol 128:498–501Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • R. Kidd
  • R. CorreaJr.

There are no affiliations available

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