Pelvic Lymphadenectomy for Staging Localized Prostatic Cancer

Dahl, Dieter; Wilson, Charles S.; Middleton, Richard G.; Bourne, Hal H.

doi:10.1016/s0022-5347(17)59698-6

Cited by 50 publications

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References 8 publications

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“…localised to the prostate, lymph node disease may be present (Dahl et al, 1974). It would appear that pelvic lymphadenectomy is superior to other methods of lymph node staging (O'Donoghue et al, 1976;Khan et af., 1983).…”

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confidence: 99%

Radical Prostatectomy in the Management of Localised Carcinoma of the Prostate

Smith

Kelly

1984

British Journal of Urology

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During the years 1971 to 1983 24 patients underwent radical prostatectomy for localised carcinoma of the prostate. There was one post-operative death from a pulmonary embolism, but all other patients were available for follow-up. All tumours were confirmed on palpation to be clinically localised to the prostate. Patients with clinical stages T0, T1, and T2 were referred for radical surgery. Patients with incidental carcinoma (T0), with less than 10% of the total tissue involved with carcinoma, were not subjected to surgery, and were followed up by observation only. Two patients developed recurrence of tumour at 18 to 12 months, and 2 years. One patient died 1 year later from the disease; he had a pathological T3 tumour with microscopic extension into the seminal vesicles. All other patients are alive and tumour-free at follow-up and 20 of the 23 patients are fully continent.

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confidence: 99%

Radical Prostatectomy in the Management of Localised Carcinoma of the Prostate

Smith

Kelly

1984

British Journal of Urology

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“…Η λεμφαγγειογραφία θα πρέπει πάντοτε να χρησιμοποιεί ται σε συνδυασμό με άλλες επιπρόσθετες διαγνωστικές μεθό δους όπως την υπερηχογραφία και την αξονική τοπογραφία κ.ά. ή και να συνδυάζεται με πυελική λεμφαδενεκτομή για επακρι βή καθορισμό του σταδίου του καρκίνου του προστάτου (127,128,129,130).…”

Section: σταδιοποιηση του καρκινου του προστατηunclassified

Η Συμβολη Και Η Σημασια Της Διορθικης Υπερηχογραφιας Στην Σταδιοποιηση Του Καρκινου Του Προστατη

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Measures to minimize small intestine injury in the irradiated pelvis

Green

Iba

Smith

1975

Cancer

102

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Small intestine injury causes long-term suffering and high mortality. Five of 187of our patients had developed serious small intestine injury. Four patients had corrective surgery. Three patients died. All were women. Subsequently, all patients who received definitive pelvic irradiation had small intestine roentgenograms to determine itslocation and mobility. Female patients, thin patients, and elderly patients had larger amounts of small intestine in the whole pelvis, a deeper cul de sac, and a greater incidence of relatively immobile small intestine. Patients with relativelyimmobile small intestine in the treatment field may be predisposed to injury. There wasno relationship of the incidence of relatively immobile small intestine to prior pelvicsurgery. We used the findings from the small intestine roentgenograms to modify indiviually the radiotherapy regimen so as to minimize the risk for small intestine injury. Patients were placed in the prone position to displace the small intestineout of the treatment fields used for booster dose irradiation. The treatment field wasmodified to exclude the small intestine. The total tumor dose delivered was determinedby expectations for curve vs. complications. To date, none of the patients in this study group has developed small intestine injury. Cadaver studies showed the feasibility of elective shortening of the pelvic cul de sac. The small intestine can be displacedaway from the bladder, prostate, or cervix.

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Pelvic Lymphadenectomy for Staging Localized Prostatic Cancer

Cited by 50 publications

References 8 publications

Radical Prostatectomy in the Management of Localised Carcinoma of the Prostate

Radical Prostatectomy in the Management of Localised Carcinoma of the Prostate

Η Συμβολη Και Η Σημασια Της Διορθικης Υπερηχογραφιας Στην Σταδιοποιηση Του Καρκινου Του Προστατη

Measures to minimize small intestine injury in the irradiated pelvis

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