The role and the extent of lymphadenectomy in patients with bladder cancer
Authors:
M. Babjuk
Published in:
Urol List 2008; 6(2): 32-35
Overview
The pelvic lymph nodes represent the primary metastatic site in bladder carcinoma. The risk of lymph node involvement is increasing depending on the depth of tumor invasion into the bladder wall. Prognosis depends on the extent of lymph node involvement. The lymph node density (including not only the number of positive nodes but also the number of removed nodes) is considered to be the most important prognostic factor.
Pelvic lymphadenectomy is the most reliable staging procedure. Retrospective evaluations show the possible therapeutic benefit of the removal of more nodes; however the consensus concerning the extent of lymphadenectomy has not been achieved yet. Most authors recommend meticulous pelvic lymphadenectomy up to the common iliac bifurcation.
Key words:
bladder tumors, cystectomy, lymphadenectomy, lymph node density
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Paediatric urologist UrologyArticle was published in
Urological Journal
2008 Issue 2
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