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The contemporary incidence of lymph node metastases in prostate cancer: implications for laparoscopic lymph node
J F Danella1, J B deKernion, R B Smith
1Department of Surgery, UCLA Medical Center.
The Journal of Urology
|June 1, 1993
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 positive predictive value of 53% for nodal metastases. Routine laparoscopic node dissection is unnecessary considering the low incidence of nodal metastases.