Lymph Node Dissection for Small Renal Masses

被引：0

作者：

Blute, Michael L., Jr. ^{[1
]}

Gupta, Mohit ^{[1
]}

Crispen, Paul L. ^{[1
]}

机构：

[1] Univ Florida, Coll Med, Dept Urol, 1600 Southwest Archer Rd,POB 100247, Gainesville, FL 32610 USA

来源：

UROLOGIC CLINICS OF NORTH AMERICA | 2017年 / 44卷 / 02期

关键词：

Renal cell carcinoma (RCC); Lymph node dissection (LND); Small renal mass (SRM); CELL CARCINOMA; RADICAL NEPHRECTOMY; METASTASES; SURVIVAL; FEATURES; PHASE-3; CANCER; SIZE; RISK;

D O I：

10.1016/j.ucl.2016.12.012

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Because the majority of small renal masses (SRMs; <4 cm) demonstrate low metastatic potential and can be effectively treated with radical or partial nephrectomy, the role of lymph node dissection (LND) at the time of surgery is unclear. A randomized trial demonstrated no survival benefit of LND in clinically localized renal cell carcinoma. Thus, LND is not recommended routinely for SRMs. For patients with high-risk features or radiographic evidence of lymphadenopathy, however, LND may improve local staging and potentially provide a survival benefit. If performed, a LND template should be based on the known lymphatic drainage of the kidneys.

引用

页码：269 / +

页数：7

共 24 条

[1] Radical Nephrectomy with and without Lymph-Node Dissection: Final Results of European Organization for Research and Treatment of Cancer (EORTC) Randomized Phase 3 Trial 30881 [J].

Blom, Jan H. M. ;

van Poppel, Hein ;

Marechal, Jean M. ;

Jacqmin, Didier ;

Schroder, Fritz H. ;

de Prijck, Linda ;

Sylvester, Richard .

EUROPEAN UROLOGY, 2009, 55 (01) :28-34

[2] A protocol for performing extended lymph node dissection using primary tumor pathological features for patients treated with radical nephrectomy for clear cell renal cell carcinoma [J].

Blute, ML ;

Leibovich, BC ;

Cheville, JC ;

Lohse, CM ;

Zincke, H .

JOURNAL OF UROLOGY, 2004, 172 (02) :465-469

[3] Guideline for Management of the Clinical T1 Renal Mass [J].

Campbell, Steven C. ;

Novick, Andrew C. ;

Belldegrun, Arie ;

Blute, Michael L. ;

Chow, George K. ;

Derweesh, Ithaar H. ;

Faraday, Martha M. ;

Kaouk, Jihad H. ;

Leveillee, Raymond J. ;

Matin, Surena F. ;

Russo, Paul ;

Uzzo, Robert G. .

JOURNAL OF UROLOGY, 2009, 182 (04) :1271-1279

[4] The role of lymph node dissection in renal cell carcinoma [J].

Chapin, Brian F. ;

Delacroix, Scott E., Jr. ;

Wood, Christopher G. .

INTERNATIONAL JOURNAL OF CLINICAL ONCOLOGY, 2011, 16 (03) :186-194

[5] The natural history of observed enhancing renal masses: Meta-analysis and review of the world literature [J].

Chawla, SN ;

Crispen, PL ;

Hanlon, AL ;

Greenberg, RE ;

Chen, DYT ;

Uzzo, RG .

JOURNAL OF UROLOGY, 2006, 175 (02) :425-431

[6] Lymph Node Dissection at the Time of Radical Nephrectomy for High-Risk Clear Cell Renal Cell Carcinoma: Indications and Recommendations for Surgical Templates [J].

Crispen, Paul L. ;

Breau, Rodney H. ;

Allmer, Cristine ;

Lohse, Christine M. ;

Cheville, John C. ;

Leibovich, Bradley C. ;

Blute, Michael L. .

EUROPEAN UROLOGY, 2011, 59 (01) :18-23

[7] The role of lymphadenectomy in renal cell carcinoma [J].

Delacroix, Scott E., Jr. ;

Wood, Christopher G. .

CURRENT OPINION IN UROLOGY, 2009, 19 (05) :465-472

[8] Radiographic size of retroperitoneal lymph nodes predicts pathological nodal involvement for patients with renal cell carcinoma: development of a risk prediction model [J].

Gershman, Boris ;

Takahashi, Naoki ;

Moreira, Daniel M. ;

Thompson, Robert H. ;

Boorjian, Stephen A. ;

Lohse, Christine M. ;

Costello, Brian A. ;

Cheville, John C. ;

Leibovich, Bradley C. .

BJU INTERNATIONAL, 2016, 118 (05) :742-749

[9] Hereditary leiomyomatosis and renal cell cancer: A syndrome associated with an aggressive form of inherited renal cancer [J].

Grubb, Robert L., III ;

Franks, Michael E. ;

Toro, Jorge ;

Middelton, Lindsay ;

Choyke, Lynda ;

Fowler, Sarah ;

Torres-Cabala, Carlos ;

Glenn, Gladys M. ;

Choyke, Peter ;

Merino, Maria J. ;

Zbar, Berton ;

Pinto, Peter A. ;

Srinivasan, Ramaprasad ;

Coleman, Jonathan A. ;

Linehan, W. Marston .

JOURNAL OF UROLOGY, 2007, 177 (06) :2074-2079

[10] Patients with renal cell carcinoma nodal metastases can be accurately identified: External validation of a new nomogram [J].

Hutterer, Georg C. ;

Patard, Jean-Jacques ;

Perrotte, Paul ;

Lonescul, Constantin ;

de la Taille, Alexandre ;

Salomon, Laurent ;

Verhoest, Gregory ;

Tostain, Jacques ;

Cindolo, Luca ;

Ficarra, Vincenzo ;

Artibani, Walter ;

Schips, Luigi ;

Zigeuner, Richard ;

Mulders, Peter F. ;

Valeri, Antoine ;

Chautard, Denis ;

Descotes, Jean-Luc ;

Rambeaud, Jean-Jacques ;

Mejean, Arnaud ;

Karakiewicz, Pierre I. .

INTERNATIONAL JOURNAL OF CANCER, 2007, 121 (11) :2556-2561

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