The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer

A pelvic lymph node dissection is commonly performed by urologists in the surgical management of prostate and bladder cancer. Identification of lymph node metastases provides important prognostic information for both diseases. Despite advances in radiographic imaging, a pelvic lymphadenectomy rema...

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Main Authors: Michael E. Woods, Michael Ouwenga, Marcus L. Quek
Format: Article
Language:English
Published: Wiley 2007-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2007.148
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author Michael E. Woods
Michael Ouwenga
Marcus L. Quek
author_facet Michael E. Woods
Michael Ouwenga
Marcus L. Quek
author_sort Michael E. Woods
collection DOAJ
description A pelvic lymph node dissection is commonly performed by urologists in the surgical management of prostate and bladder cancer. Identification of lymph node metastases provides important prognostic information for both diseases. Despite advances in radiographic imaging, a pelvic lymphadenectomy remains the most accurate method to stage lymph node involvement. In the past two decades, there has been an increase in the diagnosis of early stage prostate cancer, which has led some to omit a pelvic lymphadenectomy in patients thought to have low probability of positive lymph nodes. There is little debate, however, over the inclusion of a lymph node dissection in bladder cancer given the approximately 25% incidence of unsuspected nodal disease at the time of surgery. Controversy exists over the extent of an appropriate lymphadenectomy and its therapeutic efficacy. This review will examine the need, extent, and the potential prognostic and therapeutic benefits of a pelvic lymphadenectomy in prostate and bladder cancer.
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spelling doaj-art-e8076ad7ddbe4cd381031760698223fe2025-08-20T03:21:03ZengWileyThe Scientific World Journal1537-744X2007-01-01778979910.1100/tsw.2007.148The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder CancerMichael E. Woods0Michael Ouwenga1Marcus L. Quek2Department of Urology, Tulane University Health Sciences Center, 1430 Tulane Avenue, SL-42, New Orleans, LA 70112, USADepartment of Urology, Loyola University Stritch School of Medicine, 2160 South First Avenue, Building 54, Room 261, Maywood, IL 60153, USADepartment of Urology, Loyola University Stritch School of Medicine, 2160 South First Avenue, Building 54, Room 261, Maywood, IL 60153, USAA pelvic lymph node dissection is commonly performed by urologists in the surgical management of prostate and bladder cancer. Identification of lymph node metastases provides important prognostic information for both diseases. Despite advances in radiographic imaging, a pelvic lymphadenectomy remains the most accurate method to stage lymph node involvement. In the past two decades, there has been an increase in the diagnosis of early stage prostate cancer, which has led some to omit a pelvic lymphadenectomy in patients thought to have low probability of positive lymph nodes. There is little debate, however, over the inclusion of a lymph node dissection in bladder cancer given the approximately 25% incidence of unsuspected nodal disease at the time of surgery. Controversy exists over the extent of an appropriate lymphadenectomy and its therapeutic efficacy. This review will examine the need, extent, and the potential prognostic and therapeutic benefits of a pelvic lymphadenectomy in prostate and bladder cancer.http://dx.doi.org/10.1100/tsw.2007.148
spellingShingle Michael E. Woods
Michael Ouwenga
Marcus L. Quek
The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer
The Scientific World Journal
title The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer
title_full The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer
title_fullStr The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer
title_full_unstemmed The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer
title_short The Role of Pelvic Lymphadenectomy in the Management of Prostate and Bladder Cancer
title_sort role of pelvic lymphadenectomy in the management of prostate and bladder cancer
url http://dx.doi.org/10.1100/tsw.2007.148
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