The bladder and the prostate have a multitude of primary lymphatic landing sites, making the sentinel node concept inapplicable in patients with bladder or prostate cancer. However, some imaging techniques may be helpful in guiding surgeons for the removal of suspicious nodes that would not have been resected in a standardized template. Despite the multitude of new imaging techniques available today, a meticulous histologic workup of LNs retrieved by an extended PLND still has the highest accuracy for detection of LN metastases in bladder or prostate cancer.
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Urology. 2016 Mar 07 [Epub ahead of print]
Bernhard Kiss, Harriet C Thoeny, Urs E Studer
Department of Urology, University Hospital of Bern, Bern, Switzerland., Department of Radiology, Neuroradiology and Nuclear Medicine, University Hospital of Bern, Bern, Switzerland., Department of Urology, University Hospital of Bern, Bern, Switzerland. Electronic address: .