[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)].

Autor: Paparel P; Service de chirurgie urologique, centre hospitalier Lyon Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. philippe.paparel@chu-lyon.fr, Long JA, Baumert H, Meyer V, Escudier B, Grenier N, Hetet JF, Rioux-Leclercq N, Lang H, Poissonier L, Soulie M, Patard JJ
Jazyk: francouzština
Zdroj: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie [Prog Urol] 2010 May; Vol. 22 (6), pp. 313-7. Date of Electronic Publication: 2012 Feb 28.
DOI: 10.1016/j.purol.2012.01.017
Abstrakt: 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.
(Copyright © 2012 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE