[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)]

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

doi:10.1016/j.purol.2012.01.017

[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)]

Prog Urol. 2010 May;22(6):313-7. doi: 10.1016/j.purol.2012.01.017. Epub 2012 Feb 28.

[Article in French]

Authors

P Paparel¹, 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

Affiliation

¹ Service de chirurgie urologique, centre hospitalier Lyon Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. [email protected]

PMID: 22541899
DOI: 10.1016/j.purol.2012.01.017

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.

Publication types

English Abstract
Review

MeSH terms

Carcinoma, Renal Cell / secondary*
Carcinoma, Renal Cell / surgery*
Humans
Kidney Neoplasms / pathology*
Kidney Neoplasms / surgery*
Lymph Node Excision*
Lymphatic Metastasis
Risk Factors