Abstract
Standard lymphadenectomy is usually limited to obturator and external iliac lymph nodes. In a low risk group with PSA<10 ng/ml and a Gleason sum <7, a 2% risk of lymph node involvement is encountered and lymphadenectomy may be omitted before radical prostatectomy. However in patients with PSA >10 ng/ml, a biopsy Gleason sum >7 and a clinical stage greater than T2a, we found lymph node metastases in 26%. With extended pelvic lymphadenectomy, this resulted in a 15% diagnostic benefit over the standard lymphadenectomy approach. Lymphadenectomy including especially the internal iliac lymph nodes should be performed in a high risk patient group.
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© 2003 Springer-Verlag Berlin Heidelberg
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Hofmann, R. (2003). Extended Pelvic Lymphadenectomy. In: Hofmann, R., Heidenreich, A., Moul, J.W. (eds) Prostate Cancer. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-56321-8_13
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DOI: https://doi.org/10.1007/978-3-642-56321-8_13
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-62643-2
Online ISBN: 978-3-642-56321-8
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