دورية أكاديمية
أعرض في EDS

Does anterior prostatic fat tissue removed during robotic radical prostatectomy contain any lymph nodes?

التفاصيل البيبلوغرافية
العنوان: Does anterior prostatic fat tissue removed during robotic radical prostatectomy contain any lymph nodes?
المؤلفون: Atmaca AF; Yildirim Beyazit University, School of Medicine, Ankara Ataturk Training and Research Hospital, Department of Urology, Ankara, Turkey., Canda AE; Yildirim Beyazit University, School of Medicine, Ankara Ataturk Training and Research Hospital, Department of Urology, Ankara, Turkey., Keske M; Ankara Ataturk Training and Research Hospital, Department of Urology, Ankara, Turkey., Arslan ME; Ankara Ataturk Training and Research Hospital, Department of Urology, Ankara, Turkey., Kamaci D; Ankara Ataturk Training and Research Hospital, Department of Urology, Ankara, Turkey., Alkan E; Memorial Sisli Hospital, Department of Urology, Istanbul, Turkey., Balbay MD; Memorial Sisli Hospital, Department of Urology, Istanbul, Turkey.
المصدر: Central European journal of urology [Cent European J Urol] 2015; Vol. 68 (4), pp. 410-4. Date of Electronic Publication: 2015 Dec 21.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Polish Urological Association Country of Publication: Poland NLM ID: 101587101 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2080-4806 (Print) Linking ISSN: 20804806 NLM ISO Abbreviation: Cent European J Urol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Warsaw, Poland : Polish Urological Association
مستخلص: Introduction: We investigated whether anterior periprostatic fat (APPF) tissue removed during robotic radical prostatectomy (RARP) contains any lymph nodes (LNs).
Material and Methods: APPF tissues removed during RARP in 129 patients were evaluated histopathologically. Correlation with postoperative pathologic stage was made. Patients with a history of previous prostate or bladder surgery and radiation therapy were excluded.
Results: Mean patient age, serum prostate specific antigen (PSA), prostate weight and body mass index (BMI) were 62.2 ±5.5 (range 45-74), 9.3 ±6.3 ng/dl (range 0.26-30.3), 60.3 ±27.2 grams (range 11.0-180) and 26.6 ±1.9 kg/m(2) (range 20.0-30.3), respectively. Overall, LNs in APPF tissues were detected in 14 (10.9%) patients with a mean LN yield of 1.1 ±0.7 LNs (range, 1-3). Among those found, no metastatic LN was detected. Of the patients with pT2a (n = 22), pT2b (n = 15), pT2c (n = 62) and pT3a (n = 21) disease, LNs in APPF tissues were detected in 1 (4.6%), 1 (6.7%), 11 (17.7%) and 1 (4.8%) patient in each group, respectively. Among the patients, LNs in APPF tissues were detected in 0 (0%), 5 (35.7%), 8 (57.1%) and 1 (7.1%) patients of underweight, optimal weight, overweight and obese patients due to body mass index, respectively.
Conclusions: In our series, LNs were detected in around 10% of the patients. Therefore, this fat should, not be pushed back during RARP but should be removed and sent for pathologic evaluation. Although no metastatic LN was detected in our series, the presence of metastatic LNs might have an impact on the oncologic outcomes of the patients and warrants further research.
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فهرسة مساهمة: Keywords: anterior periprostatic fat tissue; lymph nodes; metastasis; robotic radical prostatectomy
تواريخ الأحداث: Date Created: 20160209 Date Completed: 20160209 Latest Revision: 20231111
رمز التحديث: 20231111
مُعرف محوري في PubMed: PMC4742442
DOI: 10.5173/ceju.2015.650
PMID: 26855792
قاعدة البيانات: MEDLINE
الوصف
تدمد:2080-4806
DOI:10.5173/ceju.2015.650