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Acta clinica Croatica, Vol. 58. No. Supplement 2, 2019.

Professional paper

https://doi.org/10.20471/acc.2019.58.s2.05

The Role of Lymphadenectomy in Prostate Cancer Patients

Dean Markić orcid id orcid.org/0000-0001-5696-0850 ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
Romano Oguić ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
Kristian Krpina ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Ivan Vukelić ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia
Gordana Đorđević ; Department of Pathology, University Hospital Rijeka, Rijeka, Croatia; Department of Pathology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia
Iva Žuža ; Department of Radiology, University Hospital Rijeka, Rijeka, Croatia
Josip Josip Španjol ; Department of Urology, University Hospital Rijeka, Rijeka, Croatia; Department of Urology, Faculty of Medicine, University of Rijeka, Rijeka, Croatia

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Abstract

Prostate cancer is one of the most important men’s health issues in developed countries. For patients with prostate cancer a preoperative staging of the disease must be made. Involvement of lymph nodes could be assessed using imaging methods (CT or/and MRI), however,
newer methods also exist (PET/CT, PSMA PET/CT). For some patients during radical prostatectomy a pelvic lymphadenectomy is recommended. Pelvic lymphadenectomy is indicated in intermediate-
and high-risk group patients and with increased probability of lymph node invasion. The most used prediction tools for preoperative assessment of lymph nodes are Briganti and MSKCC nomograms
and Partin tables. Pelvic lymphadenectomy can include different lymph nodes group, but extended lymphadenectomy is the recommended procedure. In 1-20% of patients, the lymph node invasion is present. Pelvic lymphadenectomy is primarily a diagnostic and staging method, and in minority of patients with positive lymph nodes it can be a curative method, too. In other patients with positive lymph nodes adjuvant therapy (radiotherapy and androgen deprivation therapy) can be beneficial.

Keywords

Prostate cancer; Radical prostatectomy; Pelvic lymph node dissection; Radiotherapy

Hrčak ID:

234258

URI

https://hrcak.srce.hr/234258

Publication date:

1.11.2019.

Article data in other languages: croatian

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