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Title: 前立腺癌における骨盤内リンパ節郭清術の検討
Other Titles: Staging pelvic lymphadenectomy for carcinoma of the prostate
Authors: 林正, 健二  KAKEN_name
石川, 悟  KAKEN_name
根本, 良介  KAKEN_name
小磯, 謙吉  KAKEN_name
武島, 仁  KAKEN_name
内田, 克紀  KAKEN_name
Author's alias: Rinsho, Kenji
Ishikawa, Satoru
Nemoto, Ryosuke
Koiso, Kenkichi
Takeshima, Hitoshi
Uchida, Katsunori
Keywords: Aged
Lymph Node Excision
Lymphatic Metastasis
Middle Aged
Neoplasm Staging
Prostatic Neoplasms/pathology/surgery
Issue Date: Sep-1985
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 31
Issue: 9
Start page: 1583
End page: 1587
Abstract: 骨スキャンにて骨転移が見られず,肺・肝にも転移の証明されなかった前立腺癌患者12例(stage A 1例,stage B 6例,stage C 5例)に骨盤リンパ節郭清術を施行した.その結果stage Bで2例(33%),stage Cで5例(100%),計7例においてリンパ節転移がみられた.酸性フォスファターゼ値は転移のあった7例中1例で異常値を示した.転移のなかった5例では正常であり,リンパ節転移のマーカーとしての有用性に乏しかった.術前の生検標本におけるgrade, Gleason分類はいずれも悪性度が高くなるにつれてリンパ節転移をきたす割合も増加した
Prospective pathological staging by pelvic lymphadenectomy in 12 patients with clinically localized carcinoma of the prostate disclosed a high incidence (58%) of clinically silent and unsuspected lymph node metastases. The incidence of positive nodes was 0% in patients with clinical stage A disease, 33% in stage B, 100% in stage C disease. Serum acid phosphatase was not a useful staging marker. Excellent correlation existed between histological grade and pathological stage. Gleason's sum was predictive of nodal metastases.
PubMed ID: 4083215
Appears in Collections:Vol.31 No.9

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