Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter

The incidence of transitional cell carcinoma of the kidney and ureter is low and for that reason limited data exists regarding the appropriate management of regional retroperitoneal lymph nodes. Lymph node metastases have consistently been associated with an adverse prognosis. Howev...

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Main Authors: Shilajit D. Kundu, Scott E. Eggener
Format: Article
Language:English
Published: Hindawi Limited 2009-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2009/181927
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spelling doaj-c3e5afaaabe54abb8b33ad5adf7007e42020-11-24T22:53:40ZengHindawi LimitedAdvances in Urology1687-63691687-63772009-01-01200910.1155/2009/181927181927Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and UreterShilajit D. Kundu0Scott E. Eggener1Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USASection of Urology, The University of Chicago Medical Center, Chicago, IL 60637, USAThe incidence of transitional cell carcinoma of the kidney and ureter is low and for that reason limited data exists regarding the appropriate management of regional retroperitoneal lymph nodes. Lymph node metastases have consistently been associated with an adverse prognosis. However, five-year cancer-specific survival following nephroureterectomy and lymphadenectomy for patients with lymph node involvement ranges from 0–39%, suggesting a therapeutic benefit. This review covers the primary tumor characteristics associated with lymph node involvement, imaging of the lymph nodes, as well as the rationale, role, patient selection, suggested anatomic templates, and technical considerations for lymphadenectomy.http://dx.doi.org/10.1155/2009/181927
collection DOAJ
language English
format Article
sources DOAJ
author Shilajit D. Kundu
Scott E. Eggener
spellingShingle Shilajit D. Kundu
Scott E. Eggener
Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
Advances in Urology
author_facet Shilajit D. Kundu
Scott E. Eggener
author_sort Shilajit D. Kundu
title Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
title_short Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
title_full Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
title_fullStr Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
title_full_unstemmed Retroperitoneal Lymph Nodes in Transitional Cell Carcinoma of the Kidney and Ureter
title_sort retroperitoneal lymph nodes in transitional cell carcinoma of the kidney and ureter
publisher Hindawi Limited
series Advances in Urology
issn 1687-6369
1687-6377
publishDate 2009-01-01
description The incidence of transitional cell carcinoma of the kidney and ureter is low and for that reason limited data exists regarding the appropriate management of regional retroperitoneal lymph nodes. Lymph node metastases have consistently been associated with an adverse prognosis. However, five-year cancer-specific survival following nephroureterectomy and lymphadenectomy for patients with lymph node involvement ranges from 0–39%, suggesting a therapeutic benefit. This review covers the primary tumor characteristics associated with lymph node involvement, imaging of the lymph nodes, as well as the rationale, role, patient selection, suggested anatomic templates, and technical considerations for lymphadenectomy.
url http://dx.doi.org/10.1155/2009/181927
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