Abstract

MONZO, J.I.; HERRANZ AMO, F.; CABELLO BENAVENTE, R.  and  HERNANDEZ FERNANDEZ, C.. The usefulness of pelvic lymphadenectomy in bladder cancer. Actas Urol Esp [online]. 2007, vol.31, n.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.

Keywords : Bladder cancer; Lymphadenectomy; Lymph node metastasis.

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