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)

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...

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Published inProgrès en urologie (Paris) Vol. 22; no. 6; p. 313
Main Authors Paparel, P, Long, J-A, Baumert, H, Meyer, V, Escudier, B, Grenier, N, Hetet, J-F, Rioux-Leclercq, N, Lang, H, Poissonier, L, Soulie, M, Patard, J-J
Format Journal Article
LanguageFrench
Published France 01.05.2010
Subjects
Carcinoma, Renal Cell - secondary
Carcinoma, Renal Cell - surgery
Humans
Kidney Neoplasms - pathology
Kidney Neoplasms - surgery
Lymph Node Excision
Lymphatic Metastasis
Risk Factors
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Summary: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.
ISSN:1166-7087
DOI:10.1016/j.purol.2012.01.017