The Importance of Pelvic Lymph Node Dissection in Men With Clinically Localized Prostate Cancer
Identifieur interne : 004874 ( Pmc/Curation ); précédent : 004873; suivant : 004875The Importance of Pelvic Lymph Node Dissection in Men With Clinically Localized Prostate Cancer
Auteurs : Mohamad E. Allaf ; Alan W. Partin ; H. Ballentine CarterSource :
- Reviews in Urology [ 1523-6161 ] ; 2006.
Abstract
Despite advances in noninvasive staging, pelvic lymph node dissection (PLND) remains the most accurate means of detecting lymph node metastases in men with clinically localized prostate cancer. Nomograms exist that can identify patients at low risk for lymphatic metastases according to preoperative information. In general, it seems reasonable to omit PLND in men with a biopsy Gleason sum of 6 or less and a prostate-specific antigen level of 10 ng/mL or less. Ultimately, however, this decision should be made according to physician and patient preference, considering the low contemporary morbidity associated with PLND. When PLND is performed, studies suggest that an extended dissection maximizes the detection rate of nodal involvement. Retrospective data indicate that an extended dissection might play a therapeutic role in a subset of patients with a limited lymph node burden. However, this might be an artifact of stage migration, and prospective studies are needed to evaluate this further.
Url:
PubMed: 17043708
PubMed Central: 1578548
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<author><name sortKey="Allaf, Mohamad E" sort="Allaf, Mohamad E" uniqKey="Allaf M" first="Mohamad E" last="Allaf">Mohamad E. Allaf</name>
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<author><name sortKey="Partin, Alan W" sort="Partin, Alan W" uniqKey="Partin A" first="Alan W" last="Partin">Alan W. Partin</name>
</author>
<author><name sortKey="Carter, H Ballentine" sort="Carter, H Ballentine" uniqKey="Carter H" first="H. Ballentine" last="Carter">H. Ballentine Carter</name>
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<front><div type="abstract" xml:lang="en"><p>Despite advances in noninvasive staging, pelvic lymph node dissection (PLND) remains the most accurate means of detecting lymph node metastases in men with clinically localized prostate cancer. Nomograms exist that can identify patients at low risk for lymphatic metastases according to preoperative information. In general, it seems reasonable to omit PLND in men with a biopsy Gleason sum of 6 or less and a prostate-specific antigen level of 10 ng/mL or less. Ultimately, however, this decision should be made according to physician and patient preference, considering the low contemporary morbidity associated with PLND. When PLND is performed, studies suggest that an extended dissection maximizes the detection rate of nodal involvement. Retrospective data indicate that an extended dissection might play a therapeutic role in a subset of patients with a limited lymph node burden. However, this might be an artifact of stage migration, and prospective studies are needed to evaluate this further.</p>
</div>
</front>
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<pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Rev Urol</journal-id>
<journal-id journal-id-type="publisher-id">RIU</journal-id>
<journal-title>Reviews in Urology</journal-title>
<issn pub-type="ppub">1523-6161</issn>
<publisher><publisher-name>MedReviews, LLC</publisher-name>
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<article-meta><article-id pub-id-type="pmid">17043708</article-id>
<article-id pub-id-type="pmc">1578548</article-id>
<article-id pub-id-type="other">1523-6161-8-3-112</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Diagnostic Review</subject>
</subj-group>
</article-categories>
<title-group><article-title>The Importance of Pelvic Lymph Node Dissection in Men With Clinically Localized Prostate Cancer</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Allaf</surname>
<given-names>Mohamad E</given-names>
</name>
<degrees>MD</degrees>
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<contrib contrib-type="author"><name><surname>Partin</surname>
<given-names>Alan W</given-names>
</name>
<degrees>MD</degrees>
<degrees>PhD</degrees>
</contrib>
<contrib contrib-type="author"><name><surname>Carter</surname>
<given-names>H. Ballentine</given-names>
</name>
<degrees>MD</degrees>
</contrib>
<aff><institution>The James Buchanan Brady Urological Institute, Department of Urology, The Johns Hopkins Medical Institutions</institution>
<addr-line>Baltimore, MD</addr-line>
</aff>
</contrib-group>
<pub-date pub-type="ppub"><season>Summer</season>
<year>2006</year>
</pub-date>
<volume>8</volume>
<issue>3</issue>
<fpage>112</fpage>
<lpage>119</lpage>
<permissions><copyright-statement>© 2006 MedReviews, LLC</copyright-statement>
<copyright-year>2006</copyright-year>
<copyright-holder>MedReviews, LLC</copyright-holder>
</permissions>
<abstract><p>Despite advances in noninvasive staging, pelvic lymph node dissection (PLND) remains the most accurate means of detecting lymph node metastases in men with clinically localized prostate cancer. Nomograms exist that can identify patients at low risk for lymphatic metastases according to preoperative information. In general, it seems reasonable to omit PLND in men with a biopsy Gleason sum of 6 or less and a prostate-specific antigen level of 10 ng/mL or less. Ultimately, however, this decision should be made according to physician and patient preference, considering the low contemporary morbidity associated with PLND. When PLND is performed, studies suggest that an extended dissection maximizes the detection rate of nodal involvement. Retrospective data indicate that an extended dissection might play a therapeutic role in a subset of patients with a limited lymph node burden. However, this might be an artifact of stage migration, and prospective studies are needed to evaluate this further.</p>
</abstract>
<kwd-group><title>Key words</title>
<kwd>Prostate cancer</kwd>
<kwd>Lymphadenectomy</kwd>
<kwd>Clinical staging</kwd>
<kwd>Magnetic resonance imaging</kwd>
<kwd>Radioimmunoscintigraphy</kwd>
<kwd>Nomograms</kwd>
<kwd>Algorithms</kwd>
</kwd-group>
</article-meta>
</front>
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