Pelvic Lymphadenectomy for High-Risk Prostate Cancer

  • Chunwoo Lee
  • Dalsan YouEmail author


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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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  1. 1.Department of UrologyGyeongsang National University Changwon Hospital, Gyeongsang National University School of MedicineChangwonSouth Korea
  2. 2.Department of UrologyAsan Medical Center, University of Ulsan College of MedicineSeoulSouth Korea

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