The Contemporary Incidence of Lymph Node Metastases in Prostate Cancer: Implications for Laparoscopic Lymph Node Dissection
- 1 June 1993
- journal article
- Published by Wolters Kluwer Health in Journal of Urology
- Vol. 149 (6), 1488-1491
- https://doi.org/10.1016/s0022-5347(17)36424-8
Abstract
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.Keywords
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