title: The contemporary incidence of lymph node metastases in prostate cancer: implications for laparoscopic lymph node dissection.
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.
authors.affiliation: Department of Surgery, UCLA Medical Center.
authors.forename: J F
authors.initials: JF
authors.lastname: Danella
authors.forename: J B
authors.initials: JB
authors.lastname: deKernion
authors.forename: R B
authors.initials: RB
authors.lastname: Smith
authors.forename: J
authors.initials: J
authors.lastname: Steckel
mesh_terms: D006801:Humans; D015994:Incidence; D010535:Laparoscopy; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis / Q000175:diagnosis*; D008297:Male; D010388:Pelvis; D011237:Predictive Value of Tests; D017430:Prostate-Specific Antigen / Q000032:analysis; D011468:Prostatectomy; D011471:Prostatic Neoplasms / Q000473:pathology* / Q000601:surgery; D012680:Sensitivity and Specificity
chemical_list: D017430:Prostate-Specific Antigen