Prostatic lymphatic drainage with sentinel nodes at the ventral abdominal wall visualized with SPECT/CT: a case series.
Lymphatic drainage from the prostate is mainly directed towards pelvic sentinel lymph nodes, although presacral and para-aortic sentinel nodes have also been found with lymphatic mapping. In this case series, we describe direct lymphatic drainage towards the anterior abdominal wall in 3 patients with prostate cancer. In one patient, the sentinel node at the anterior abdominal wall contained metastasis. Sentinel node sampling provides the possibility to map all nodes on a direct drainage pathway, in contrast to regional pelvic nodal dissection with which some sentinel nodes may be missed.
Vermeeren
Lenka
L
Department of Nuclear Medicine, Netherlands Cancer Institute-Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands. l.vermeeren@nki.nl
Meinhardt
Willem
W
Valdes Olmos
Renato A
RA
D034861:Abdominal Wall; D000368:Aged; D004322:Drainage; D006801:Humans; D008198:Lymph Nodes / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D021701:Sentinel Lymph Node Biopsy; D015899:Tomography, Emission-Computed, Single-Photon; D014057:Tomography, X-Ray Computed