Lymph node dissection in radical nephrectomy for renal cell carcinoma: is it necessary?
Lymph node dissection is an essential step in radical nephrectomy for renal cell carcinoma, but lymph node metastases are present in no more than 15% of category M0 renal cell cancers and the cure rate of patients with lymph node involvement is usually poor. Therefore it can be assumed that less than 5% of patients benefit from lymphadenectomy. Lymph node dissection of limited extent is useful in enabling easier control of the great vessels, and radical dissection may be confined to patients of high T categories in whom the chance for nodal involvement is higher.
D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging; D009392:Nephrectomy; D011379:Prognosis; D012082:Renal Veins / Q000473:pathology