THE CONTEMPORARY INCIDENCE OF LYMPH-NODE METASTASES IN PROSTATE-CANCER - IMPLICATIONS FOR LAPAROSCOPIC LYMPH-NODE DISSECTION

被引:95
作者
DANELLA, JF
DEKERNION, JB
SMITH, RB
STECKEL, J
机构
[1] Division of Urology, Department of Surgery, UCLA Medical Center, Los Angeles, CA
关键词
PROSTATIC NEOPLASMS; LYMPH NODES; NEOPLASM METASTASIS;
D O I
10.1016/S0022-5347(17)36424-8
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
The incidence of lymphatic metastases in 229 consecutive patients with clinically localized prostatic cancer was assessed. Only 13 patients had nodal metastases, for an incidence of 5.7%. A monoclonal prostatic specific antigen value of more than 40 ng./ml. correlated with a positive predictive value of 53% for nodal metastases. Routine laparoscopic node dissection is unnecessary considering the low incidence of nodal metastases.
引用
收藏
页码:1488 / 1491
页数:4
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