The contemporary incidence of lymph node metastases in prostate cancer: implications for laparoscopic lymph node dissection.
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.
Danella
J F
JF
Department of Surgery, UCLA Medical Center.
deKernion
J B
JB
Smith
R B
RB
Steckel
J
J
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
D017430:Prostate-Specific Antigen