THE CONTEMPORARY INCIDENCE OF LYMPH-NODE METASTASES IN PROSTATE-CANCER - IMPLICATIONS FOR LAPAROSCOPIC LYMPH-NODE DISSECTION

Authors
DANELLA JF DEKERNION JB SMITH RB STECKEL J
Citation
Jf. Danella et al., THE CONTEMPORARY INCIDENCE OF LYMPH-NODE METASTASES IN PROSTATE-CANCER - IMPLICATIONS FOR LAPAROSCOPIC LYMPH-NODE DISSECTION, The Journal of urology, 149(6), 1993, pp. 1488-1491
Citations number
15
Categorie Soggetti
Urology & Nephrology
Journal title
The Journal of urology → ACNP
ISSN journal
00225347
Volume
149
Issue
6
Year of publication
1993
Pages
1488 - 1491
Database
ISI
SICI code
0022-5347(1993)149:6<1488:TCIOLM>2.0.ZU;2-7
Abstract
The incidence of lymphatic metastases in 229 consecutive patients with clinically localized prostatic cancer was assessed. Only 13 patients had nodal metastases, for an incidence of 5.7%. A monoclonal prostatic specific antigen value of more than 40 ng./ml. correlated with a posi tive predictive value of 53% for nodal metastases. Routine laparoscopi c node dissection is unnecessary considering the low incidence of noda l metastases.