Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review

The standard surgical treatment of invasive bladder cancer is the radical cystectomy and pelvic lymph node dissection (PLND). Up to one-third of patients with invasive bladder cancer have lymph node metastasis. Thus, PLND has important therapeutic and prognostic benefits. The number of lymph nodes t...

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Main Authors: Ehab A. Elzayat, Ali A. Al-Zahrani
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2011/701481
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author Ehab A. Elzayat
Ali A. Al-Zahrani
author_facet Ehab A. Elzayat
Ali A. Al-Zahrani
author_sort Ehab A. Elzayat
collection DOAJ
description The standard surgical treatment of invasive bladder cancer is the radical cystectomy and pelvic lymph node dissection (PLND). Up to one-third of patients with invasive bladder cancer have lymph node metastasis. Thus, PLND has important therapeutic and prognostic benefits. The number of lymph nodes that should be removed and the extent of the PLND are still a controversial issue. Recently, the trend of PLND increased toward more extended PLND. Several prognostic factors related to PLND were reported in the literature. In this paper, we will discuss the different PLND templates, number of lymph nodes that should be resected, lymph node density, lymphovascular invasion, tumor burden, extracapsular extension, and the aggregate lymph node metastasis diameter.
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spelling doaj-art-9f3d1bd9da32479f8e7b985070d926d82025-08-20T02:18:33ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/701481701481Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature ReviewEhab A. Elzayat0Ali A. Al-Zahrani1Department of Urology, Al-Azhar University, Cairo, EgyptDepartment of Urology, University of Dammam, Saudi ArabiaThe standard surgical treatment of invasive bladder cancer is the radical cystectomy and pelvic lymph node dissection (PLND). Up to one-third of patients with invasive bladder cancer have lymph node metastasis. Thus, PLND has important therapeutic and prognostic benefits. The number of lymph nodes that should be removed and the extent of the PLND are still a controversial issue. Recently, the trend of PLND increased toward more extended PLND. Several prognostic factors related to PLND were reported in the literature. In this paper, we will discuss the different PLND templates, number of lymph nodes that should be resected, lymph node density, lymphovascular invasion, tumor burden, extracapsular extension, and the aggregate lymph node metastasis diameter.http://dx.doi.org/10.1155/2011/701481
spellingShingle Ehab A. Elzayat
Ali A. Al-Zahrani
Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review
Advances in Urology
title Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review
title_full Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review
title_fullStr Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review
title_full_unstemmed Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review
title_short Pelvic Lymphadenectomy in the Treatment of Invasive Bladder Cancer: Literature Review
title_sort pelvic lymphadenectomy in the treatment of invasive bladder cancer literature review
url http://dx.doi.org/10.1155/2011/701481
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