Extended Pelvic Lymphadenectomy for Prostatic Cancer

Abstract

Thirty patients with clinically localized prostatic carcinoma underwent extended pelvic lymphadenectomy, including the presacral and presciatic (lateral sacral) areas. The first echelon of pelvic nodes to be involved by metastases was the external iliac, obturator, presacral and presciatic. The deep presacral-presciatic nodes were involved almost as often as the more superficial external iliac-obturator group. Metastases limited only to the deep pelvic nodes were found in 14 per cent of the cases.