Contemporary Role of Lymph Node Dissection in Genitourinary Cancers: Where Are We in 2023?

Amanda A Myers; Alberto Briganti; Bradley Leibovich; Seth P Lerner; Marco Moschini; Morgan Rouprêt; Shahrokh F Shariat; Philippe E Spiess; Arnulf Stenzl; Samir S Taneja; Karim A Touijer; Ashish M Kamat

doi:10.1016/j.euo.2023.10.028

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Contemporary Role of Lymph Node Dissection in Genitourinary Cancers: Where Are We in 2023?

Journal article

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Peer reviewed

Contemporary Role of Lymph Node Dissection in Genitourinary Cancers: Where Are We in 2023?

Amanda A Myers, Alberto Briganti, Bradley Leibovich, Seth P Lerner, Marco Moschini, Morgan Rouprêt, Shahrokh F Shariat, Philippe E Spiess, Arnulf Stenzl, Samir S Taneja, …

European urology oncology, Vol.7(3), pp.412-420

06/2024

DOI: 10.1016/j.euo.2023.10.028

PMID: 37980250

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Abstract

Lymphadenectomy during surgery for genitourinary malignancies has varying benefits. To review contemporary evidence on lymph node dissection in genitourinary cancers. We performed a collaborative review to summarize current evidence supporting lymph node dissection in urothelial, prostate, kidney, penile, and testis cancers. We present the evidence on patient selection and recommended dissection templates, and highlight knowledge gaps and ongoing areas of investigation. Lymph node dissection remains the reference standard for lymph node staging. Pathologic nodal stage informs prognosis and guides adjuvant treatment. Appropriate template and patient selection are paramount to optimize outcomes and capitalize on the selective therapeutic benefits. Accurate staging with lymphadenectomy is contingent on appropriate template selection. The cumulative benefit will depend on judicious patient selection. We performed a collaborative review by a diverse group of experts in urology. We reviewed current evidence on lymph node dissection.

Humans

Lymph Node Excision - methods

Lymph Nodes - pathology

Lymph Nodes - surgery

Lymphatic Metastasis - pathology

Male

Neoplasm Staging

Urogenital Neoplasms - pathology

Urogenital Neoplasms - surgery

Details

Title: Subtitle: Contemporary Role of Lymph Node Dissection in Genitourinary Cancers: Where Are We in 2023?
Creators: Amanda A Myers - The University of Texas MD Anderson Cancer Center
Alberto Briganti - IRCCS Ospedale San Raffaele
Bradley Leibovich - Mayo Clinic in Arizona
Seth P Lerner - Baylor College of Medicine
Marco Moschini - IRCCS Ospedale San Raffaele
Morgan Rouprêt - Sorbonne Université
Shahrokh F Shariat - Comprehensive Cancer Center Vienna
Philippe E Spiess - Moffitt Cancer Center
Arnulf Stenzl - University of Tübingen
Samir S Taneja - NYU Langone Health
Karim A Touijer - Memorial Sloan Kettering Cancer Center
Ashish M Kamat - The University of Texas MD Anderson Cancer Center
Resource Type: Journal article
Publication Details: European urology oncology, Vol.7(3), pp.412-420
DOI: 10.1016/j.euo.2023.10.028
PMID: 37980250
NLM abbreviation: Eur Urol Oncol
ISSN: 2588-9311
eISSN: 2588-9311
Language: English
Date published: 06/2024
Academic Unit: Urology
Record Identifier: 9984934815602771

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