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Pelvic Lymphadenectomy for High-Risk Prostate Cancer

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Management of Advanced Prostate Cancer

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Abstract

Pelvic lymphadenectomy is considered the most reliable method of diagnosing lymph node metastases and significant adverse prognostic factor in patients with prostate cancer. In the treatment of prostate cancer, however, the clinical benefit of pelvic lymphadenectomy is debatable. In the past, it was common practice not to conduct radical prostatectomy when the lymph node positive results were seen in the frozen section during surgery [1]. Despite the recent efforts to improve clinical outcomes in patients with prostate cancer, pelvic lymphadenectomy remains controversial. Abdollah et al. recently identified that removing more lymph nodes during radical prostatectomy can significantly improve cancer-specific survival in pN1 patients [2]. Therefore, more comprehensive and accurate nodal staging through extended pelvic lymphadenectomy may indirectly [3].

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Authors and Affiliations

  1. Department of Urology, Gyeongsang National University Changwon Hospital, Gyeongsang National University School of Medicine, Changwon, South Korea

    Chunwoo Lee

  2. Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea

    Dalsan You

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  1. Chunwoo Lee
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Correspondence to Dalsan You .

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Editors and Affiliations

  1. Department of Urology, Asan Medical Center, Seoul, Soul-t´ukpyolsi, Korea (Republic of)

    Choung Soo Kim

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Lee, C., You, D. (2018). Pelvic Lymphadenectomy for High-Risk Prostate Cancer. In: Kim, C. (eds) Management of Advanced Prostate Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-6943-7_5

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  • DOI: https://doi.org/10.1007/978-981-10-6943-7_5

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-6942-0

  • Online ISBN: 978-981-10-6943-7

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