Actas Urológicas Españolas
ISSN 0210-4806
MONZO, J.I.; HERRANZ AMO, F.; CABELLO BENAVENTE, R. HERNANDEZ FERNANDEZ, C.. The usefulness of pelvic lymphadenectomy in bladder cancer. []. , 31, 1, pp.1-6. ISSN 0210-4806.
Objetive: To assess the usefulness of pelvic lymphadenectomy in bladder cancer. Methods and Results: With the followings key words: bladder cancer, lymphadenectomy, lymph node metastasis we search in Medline/PubMed database for papers published during the last ten years. Thirty three papers fulfilling the search criteria were selected. Conclusions: It does not exist any randomized prospective study comparing different pelvic lymphadenectomy techniques. Nodal metastasis in bladder cancer after radical cystectomy and pelvic lymphadenectomy ranged between 18% and 28%. Standard lymphadenectomy could improve tumor staging and probably survival in selected patients. It is advisable to remove, as a quality parameter, at least 10 to 14 nodes in a pelvic lymphadenectomy. Lymph node density seems to predict survival better than TNM staging system. It is advisable to perform separate lymph node dissection rather than en-bloc.
: Bladder cancer; Lymphadenectomy; Lymph node metastasis.