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LYMPHADENECTOMY IN PROSTATE CANCER
Article published in Urologia Polska 1998/51/3.

authors

Grzegorz Herlinger, Jacek Rykowski, Magdalena Czubak, Jan Szymanowski
Oddział Urologii Szpitala Bielańskiego w Warszawie
Ordynator: dr med. J. Szymanowski

keywords

prostate prostate carcinoma radical prostatectomy lymphadenectomy

summary

Objective. Evaluation of lymph node dissection in patients with prostate cancer.
Material and methods. Radical retropubic prostatectomy was performed in
79 patients. Pelvic lymph node dissection was performed in all patients. Iliac
external, internal et obturator lymph nodes were removed bilaterally.
Results. Mean operating time was 1.5 hour. In 35 patients pelvic lymph
nodes were positive for prostate cancer. Of the patients 17% had metastases only
in iliac external nodes. 60% patients with metastases had disease stage pT3c. 50%
had PSA below 20 ng/ml. Complications occurred in 18 patients: in 1 patient
iliac vein injury, in 2 patients lymphocoele and in 15 patients scrotal oedema.
Conclusions. We conclude that standard pelvic lymph node dissection is
accurate procedure in patients with prostate cancer who underwent radical
prostatectomy. Open lymphadenectomy is safe method with low morbidity.

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