Lymphadenectomy for Muscle-Invasive Bladder Cancer and Upper Tract Urothelial Cell Carcinoma

被引：8
|
作者：
Sathianathen, Niranjan J. [1 ]
Risk, Michael C. [1 ]
Konety, Badrinath R. [1 ]
机构：
[1] Univ Minnesota, Dept Urol, Delaware St Southeast, Minneapolis, MN 55455 USA
来源：
UROLOGIC CLINICS OF NORTH AMERICA | 2018年 / 45卷 / 02期
关键词：
Cystectomy; Lymph node dissection; Transitional cell carcinoma; Urinary bladder neoplasms; LYMPH-NODE DISSECTION; TEMPLATE-BASED LYMPHADENECTOMY; EXTENDED PELVIC LYMPHADENECTOMY; RECURRENCE-FREE SURVIVAL; RADICAL CYSTECTOMY; EXTRACAPSULAR EXTENSION; EXTRANODAL EXTENSION; PROGNOSTIC VALUE; CLINICAL-TRIAL; MINIMUM NUMBER;
D O I：
10.1016/j.ucl.2017.12.006
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
There are currently no reported randomized trials that characterize the staging or therapeutic benefit of performing a lymph node dissection in either bladder cancer or upper tract urothelial carcinoma. Several unanswered questions remain in this domain focused on the indications and patient selection for pelvic lymph node dissection, extent of dissection, its impact on outcome, and potential risks. However, the results of observational studies suggest that the burden of metastasis is high in both diseases when muscle invasive and performing a lymphadenectomy can provide prognostic information and yield therapeutic benefit.
引用
收藏
页码：215 / +
页数：15
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