[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)].

Abstract

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.

• Authors: P Paparel, J-A Long, H Baumert, V Meyer, B Escudier, N Grenier, J-F Hetet, N Rioux-Leclercq, H Lang, L Poissonier, M Soulie, J-J Patard
• Journal: Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 22 Issue 6 Pg. 313-7 (May 2010) ISSN: 1166-7087 [Print] France
• Vernacular Title: Place du curage ganglionnaire dans la prise en charge des cancers du rein : revue de la littérature par le sous-comité rein du Comité de cancérologie de l'Association française d'urologie (CCAFU-rein).
• PMID: 22541899 (Publication Type: English Abstract, Journal Article, Review)
• Copyright: Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Topics

• Carcinoma, Renal Cell (secondary, surgery)
• Humans
• Kidney Neoplasms (pathology, surgery)
• Lymph Node Excision
• Lymphatic Metastasis
• Risk Factors