The role of lymphadenectomy at the time of radical nephroureterectomy for upper tract urothelial carcinoma

被引:6
作者
Goltzman, Michael E. [1 ]
Gogoj, Augustyna [1 ]
Ristau, Benjamin T. [1 ]
机构
[1] UConn Hlth, Div Urol, Farmington, CT USA
关键词
Upper tract urothelial carcinoma (UTUC); lymphadenectomy; nephroureterectomy; metastasis; treatment outcome; LYMPH-NODE DISSECTION; UPPER URINARY-TRACT; TRANSITIONAL-CELL CARCINOMA; REGIONAL LYMPHADENECTOMY; SURVIVAL; CANCER; IMPACT; METASTASES; NUMBER;
D O I
10.21037/tau.2019.11.29
中图分类号
R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
摘要
The role of lymphadenectomy (LND) at the time of radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC) is controversial. The National Comprehensive Cancer Network guidelines recommend performing a template-based LND for high-risk primary tumors while the European guidelines state that it is not feasible to determine indication or extent of LND at the time of surgery for UTUC. Herein, we review the anatomic rationale for template-based LND, examine when a LND should be considered, and discuss the impact of LND on staging and survival outcomes.
引用
收藏
页码:1860 / 1867
页数:8
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