Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
The incidence of transitional cell carcinoma of the kidney and ureter is low and for that reason limited data exists regarding the appropriate management of regional retroperitoneal lymph nodes. Lymph node metastases have consistently been associated with an adverse prognosis. Howev...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2009-01-01
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| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2009/181927 |
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| Summary: | The incidence of transitional cell carcinoma of the kidney and ureter is
low and for that reason limited data exists regarding the appropriate management of
regional retroperitoneal lymph nodes. Lymph node metastases have consistently
been associated with an adverse prognosis. However, five-year cancer-specific survival
following nephroureterectomy and lymphadenectomy for patients with lymph node involvement ranges
from 0–39%, suggesting a therapeutic benefit. This review covers the primary tumor characteristics
associated with lymph node involvement, imaging of the lymph nodes, as well as the rationale,
role, patient selection, suggested anatomic templates, and technical
considerations for lymphadenectomy. |
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| ISSN: | 1687-6369 1687-6377 |