Prostat Kanseri Hastalarında Pelvik Lenf Nodu Diseksiyonu

Year 2016, Volume: 8 Issue: 1, 47 - 51, 01.03.2016

Fazlı Polat Süleyman Yeşil Ali Atan

Abstract

Prostat kanseri PKa tanısı konulan kişilerin önemli bir kısmı radikal prostatektomi RP olmayı tercih ederler. Ancak RP ile beraber pelvik lenf nod diseksiyonu PLND yapılması en tartışmalı konulardan birisidir. Çünkü prostat kanseri olan olguların tamamında lenf nodu tutulumu yoktur, dikkatli bir PLND zaman alıcı bir işlemdir ve deneyimli bir ürolog tarafından yapılmalıdır. Uygun kişilerde RP ile beraber PLND yapılması hem doğru evreleme hem de kür sağlanması açısından çok önemlidir. Bu nedenle doğru hastalarda RP ile beraber PLND yapılması gereklidir. Klinik bulgulara, radyolojik görüntüleme yöntemlerine ve nomogramlara dayalı olarak PLND yapma kararı verilir. Bu derlemede PLND’nun sınırları, faydası ve komplikasyonları anlatılmaktadır

Keywords

Prostat kanseri, pelvik lenfadenektomi

Pelvic Lymph Node Dissection In Patients With Prostate Cancer

Abstract

Important part of the patients with prostate cancer prefer undergoing radical prostatectomy RP . However, pelvic lymph node dissection PLND along with RP is one of the most controversial issue. Because lymph nod involvement is not available in all cases with PKa, PLND is a time-consuming procedure and PLND must be perfomed by an experienced urologist. RP along with PLND in relevant cases is very important to obtain both correct staging and cure. Therefore, RP along with PLND is required in correct patients. According to clinical findings, radiologic imaging methods and nomograms, decision of PLND is made. Borders, benefits and complications of PLND in this review is explained

Keywords

Prostate cancer, pelvic lymphadenectomy

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