The authors have correlated PSA and Gleason score with lymph node involvement in prostatic cancer. The aim of this work is to evaluate the indications for laparoscopic lymphadenectomy in patients with prostatic cancer in clinical stage A - B - C. Results showed that for high PSA values (> 30 ng/ml) and Gleason score (> 7), there was a significant rate of lymph node metastasis. The authors therefore believe that the gold standard for detecting neoplastic involvement in these selected cases could be laparoscopic lymphadenectomy.
BensonK.H., WatsonR.A., SpringD.B.: The value of computerized tomography in evaluation of pelvic lymph nodes. J. Urol., 126: 63, 1981.
2.
PlattJ.F., BreeR.L., SchwabR.E.: The accuracy of CT in staging of carcinoma of the prostate. A.I.R. Am. J. Roentgenol., 144: 315, 1987.
3.
GervasiL.A., ScardinoP.T., MataJ., EasieyJ.D.: Prognostic significance of lymphnodal metastases in prostate cancer. J. Urol., 142: 332–336, 1989.
4.
HermansenD.K., WithmoreW.F.Jr.: Frozen section lymph node analisys in pelvic lymphadenectomy for prostate cancer. J. Urol., 139: 1073, 1988.
5.
CampobassoO.: Possibilità di accertamento istologico delle metastasi nella linfadenectomia di staging nel carcinoma prostatico. Servizio di Anatomia ed Istologia Patologica, Ospedale Maria Vittoria, Torino: Urol., 60 (3), 1993.
6.
MutoG., MoroniM.: Le complicanze della linfadenectomia pelvica, chirurgica e laparoscopica a confronto. Atti del congresso S.U.N.I., 1993.
7.
MaffeziniM., CarmignaniG., MutoG.: Benefits and complications of laparoscopic pelvic lymphadenectomy for detection of stage D1 prostate cancer: a multicenter experience. European Urology, 27 (2): 135–7, 1995.
8.
GasmanD., BarthelemyY.: Laparoscopically-controlled lymphadenectomy in localized cancer of the prostate. Progres en Urologie; 4 (4): 516–21; discussion 521-2, aug.-sept. 1994.
MooreR.G., PartiliA.W., KavoussiL.R.: Role of the laparoscopy in the diagnosis and treatment of prostate cancer. Seminars in Surgical Oncology, 12 (2): 139–44, 1996.
