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Lymph Node Metastases in Prostatic Cancer

  • M. A. Bagshaw
Part of the NATO Advanced Science Institutes Series book series (NSSA, volume 53)

Abstract

One of the first descriptions of the lymphatics of the prostate was that of Paolo Mascagni in his magnificent Vasorum Lymphaticorum Corporis Humani Historia et Iconographia, published in 1787 (1). A more modern work was that of Cuneo and Marcille, who completed the definitive dissections of the pelvic lymphatics at the turn of this century, and which later became the foundation for the definitive description of the pelvic lymphatics by Rouvière (2,3). According to Rouviere, the lymphatic drainage of the prostate consists of four main trunks. The first and most numerous lymphatic trunks emerge from the posterior surface of the prostatic capsule and go to the external iliac pedicle. The second group of lymphatics travels with branches of the hemorrhoidal artery to the hypogastric nodes. The third pedicle arises from the posterior surface, courses posteriorly to the pre-sacral region and encounters the first lymph node usually at the level of second sacral foramina. Other lymphatics in this group proceed to the region of the sacral promontory. The fourth pedicle descends from the anterior surface of the floor of the perineum going with the internal pudendal artery, and around the ischial spine into the pelvis, terminating in a hypogastric node.

Keywords

Prostatic Cancer Pelvic Lymphadenectomy Obturator Nerve Ischial Spine Sacral Promontory 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    P. Mascagni, “Vasorum lymphaticorum corporis humani historia et iconographia,” P. Carli, Senis (Siena), (1787).Google Scholar
  2. 2.
    G. Delamere, The lymphatics. General anatomy of the lymphatics, in: “Special Study of the Lymphatics in Different Parts of the Body,” P. Poirier and B. Cuneo, eds., English edition translated and edited by Cecil H. Leaf, W.T. Keener & Co., Chicago, (1904), p.301.Google Scholar
  3. 3.
    H. Rouvière, “Anatomy of the Human Lymphatic System,” Trans. by M.J. Tobias, Edwards Brothers, Inc. Ann Arbor, Mich., (1938).Google Scholar
  4. 4.
    P.G. Herman, D.L. Benninghoff, J.H. Nelson, and H.Z. Mellins, Roentgen anatomy of the ilio-pelvic-aortic lymphatic system, Radiology 80:182 (1963).PubMedGoogle Scholar
  5. 5.
    C. Merrin, Z. Wajsman, G. Baumgartner, and E. Jennings, The clinical value of lymphangiography: are the nodes surrounding the obturator nerve visualized?, J. Urol. 117:762 (1977).PubMedGoogle Scholar
  6. 6.
    D.A. Pistenma, M.A. Bagshaw, and F.S. Freiha, Extended-field radiation therapy for prostatic adenocarcinoma: status report of a limited prospective trial, in: “Cancer of the Genitourinary Tract,” D.E. Johnson and M.L. Samuels, eds., Raven Press, New York, (1979), p.229.Google Scholar
  7. 7.
    R.H. Flocks, D. Culp, and R. Porto, Lymphatic spread from prostatic cancer, J. Urol. 81:194 (1959).PubMedGoogle Scholar
  8. 8.
    L.J. Arduino and M.A. Glucksman, Lymph node metastases in early carcinoma of the prostate, J. Urol. 88:194 (1959).Google Scholar
  9. 9.
    B.S. Hilaris, W.F. Whitmore, M. Batata, and W. Barzell, Behavioral patterns of prostate adenocarcinoma following an 125I implant and pelvic node dissection, Int. J. Radiat. Oncol. Biol. Phys. 2:631 (1977).PubMedCrossRefGoogle Scholar
  10. 10.
    H. Zincke, T.R. Fleming, W.L. Furlow, R.P. Myers, and D.C. Utz, Radical retropubic prostatectomy and pelvic lymphadenectomy for high stage cancer of the prostate, Cancer 47:1901 (1981).PubMedCrossRefGoogle Scholar
  11. 11.
    M. Golimbu, P. Morales, S. Al-Askari, and J. Brown, Extended pelvic lymphadenectomy for prostatic cancer, J. Urol. 121:617 (1979).PubMedGoogle Scholar
  12. 12.
    S.C. Efremidis, A. Pagliarulo, S.J. Dan, H.N. Weber, R.N. Dillon, H. Nieburgs, and H.A. Mitty, Post-lymphangiography fine needle aspiration lymph node biopsy in staging carcinoma of the prostate: preliminary report, J. Urol. 122:495 (1979).PubMedGoogle Scholar
  13. 13.
    W.R. Berry, J. Laszlo, E. Cox, A. Walker, and D. Paulson, Prognostic factors in metastatic and hormonally unresponsive carcinoma of the prostate, Cancer 44:763 (1979).PubMedCrossRefGoogle Scholar
  14. 14.
    M.C. Spellman, R.A. Castellino, G.R. Ray, D.A. Pistenma, and M.A. Bagshaw, An evaluation of lymphography in localized carcinoma of the prostate, Radiology 125:637 (1977).PubMedGoogle Scholar
  15. 15.
    E.J. Liebner, S. Stefani and Uro-Oncology Research Group, An evaluation of lymphography with nodal biopsy in localized carcinoma of the prostate, Cancer 45:728 (1980).PubMedCrossRefGoogle Scholar
  16. 16.
    F.S. Freiha and J. Salzman, Surgical staging of prostatic cancer: transperitoneal versus extraperitoneal lymphadenectomy, J. Urol. 118:616 (1977).PubMedGoogle Scholar
  17. 17.
    M.A. Bagshaw, External radiation therapy of carcinoma of the prostate, Cancer 45:1912 (1980).PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1983

Authors and Affiliations

  • M. A. Bagshaw
    • 1
  1. 1.Department of RadiologyStanford University School of MedicineUSA

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