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[Staging pelvic lymphadenectomy for the prostatic cancer]
Hinyokika Kiyo. Acta Urologica Japonica
|October 1, 1986
Summary
Pelvic lymphadenectomy in prostate cancer patients revealed metastasis in 57% of cases. Lower Gleason scores were associated with lymph node metastasis, indicating prognostic value in staging prostate cancer.
Area of Science:
- Urology
- Oncology
- Surgical Pathology
Context:
- Prostate cancer staging is crucial for treatment decisions.
- Pelvic lymphadenectomy is a key diagnostic procedure.
- Understanding metastasis patterns informs prognosis.
Purpose:
- To evaluate the incidence and patterns of lymph node metastasis in prostate cancer.
- To correlate lymph node metastasis with Gleason scores.
- To assess the complication rate of staging pelvic lymphadenectomy.
Summary:
- Staging pelvic lymphadenectomy was performed on 21 patients with Stage A, B, and C prostate cancer.
- Lymph node metastasis was detected in 12 patients (57%).
- Lower Gleason scores were significantly associated with lymph node metastasis (p < 0.05). Metastasis rates were high in external iliac (55%), internal iliac (83%), and obturator (82%) lymph nodes. Complications were infrequent, including wound healing delay and lower extremity edema in two patients.
Impact:
- Identifies prognostic indicators for prostate cancer progression.
- Provides data on lymph node involvement patterns.
- Supports the role of lymphadenectomy in comprehensive cancer staging.