title: [Current role of lymph node dissection in renal cell carcinoma: review of the literature by the Oncology Committee of the French Association of Urology (CCAFU)].
abstract: Nowadays, most of renal cancers are incidental tumors less than 4 cm. Prevalence of lymph node involvement is low and does not require a systematic lymphadenectomy as described by Robson in the 1960s. Radiologic progress and particularly CT scan describe with high precision lymph node involvement in the initial work-up. In renal cancer with a high risk of recurrence, lymphadenectomy has a pronostic interest and therapeutic role in rare situations where lymph node involvement is isolated. In metastatic patients, the role of cytoreductive nephrectomy has to be assessed.
authors.affiliation: Service de chirurgie urologique, centre hospitalier Lyon Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. philippe.paparel@chu-lyon.fr
authors.forename: P
authors.initials: P
authors.lastname: Paparel
authors.forename: J-A
authors.initials: JA
authors.lastname: Long
authors.forename: H
authors.initials: H
authors.lastname: Baumert
authors.forename: V
authors.initials: V
authors.lastname: Meyer
authors.forename: B
authors.initials: B
authors.lastname: Escudier
authors.forename: N
authors.initials: N
authors.lastname: Grenier
authors.forename: J-F
authors.initials: JF
authors.lastname: Hetet
authors.forename: N
authors.initials: N
authors.lastname: Rioux-Leclercq
authors.forename: H
authors.initials: H
authors.lastname: Lang
authors.forename: L
authors.initials: L
authors.lastname: Poissonier
authors.forename: M
authors.initials: M
authors.lastname: Soulie
authors.forename: J-J
authors.initials: JJ
authors.lastname: Patard
mesh_terms: D002292:Carcinoma, Renal Cell / Q000556:secondary* / Q000601:surgery*; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery*; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D012307:Risk Factors