Contemporary lymphadenectomy templates: Kidney, prostate and bladder cancer

Travis Pagliara, Andrew Nguyen, Badrinath Konety

Research output: Contribution to journalReview articlepeer-review

1 Scopus citations

Abstract

Purpose Of review: Lymph node dissection (LDN) at the time of a primary malignant resection varies in therapeutic and staging outcomes between organs of origin. The purpose of our review is to provide new updates and a key summary on the developments in lymphadenectomy templates in kidney, prostate and bladder cancer. Recent findings: There are still evolving definitions for LDN templates, means of pathologic diagnosis of lymph nodes, as well as implications on staging/cancer-free survival after LND though trends are still emerging. Summary: Routine lymphadenectomy does not appear to yield benefit in kidney cancer but maybe helpful in those with grossly identifiable disease. For high-risk prostate cancer as well as bladder cancer, extended lymphadenectomy with resection of external and internal iliac and obturator nodes as well as some common iliac nodes can yield survival benefit.

Original languageEnglish (US)
Pages (from-to)148-154
Number of pages7
JournalCurrent Opinion in Urology
Volume24
Issue number2
DOIs
StatePublished - Mar 1 2014

Keywords

  • bladder cancer
  • kidney cancer
  • lymphadenectomy
  • prostate cancer

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