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When to remove the lymph nodes in prostate cancer?

When to remove the lymph nodes in prostate cancer?

Case 1: The prostate itself has not yet been treated. When and how should (possibly) affected lymph nodes be treated or removed? The radical surgical removal of the lymph nodes, also called lymphadenectomy, is still a standard method in prostate cancer. Most of these are performed within the prostate surgery (prostatectomy).

Can a lymph node be removed from the pelvic area?

Firstly, not all pelvic lymph nodes can be removed because they are very difficult to find during an operation. Second, the possibility of a further incidence of metastases in the rest of the lymph system or body is absolutely not eliminated by the removal of some lymph nodes.

What happens to the prostate after a prostatectomy?

The goal is to destroy prostate cells that may have been left behind after surgery. This lowers the risk of recurrence and metastasis, or of the cancer spreading. Metastatic prostate cancer may not be curable, but there are treatments to slow progression and manage symptoms. Treatments may include:

Is there a cure for early stage prostate cancer?

What’s the outlook? Prostate cancer is often curable with surgery and radiation therapy. According to Cancer Research UK, about 1 in 3 men with early-stage prostate cancer have a recurrence after treatment. If it does recur, it can be treated.

Case 1: The prostate itself has not yet been treated. When and how should (possibly) affected lymph nodes be treated or removed? The radical surgical removal of the lymph nodes, also called lymphadenectomy, is still a standard method in prostate cancer. Most of these are performed within the prostate surgery (prostatectomy).

Firstly, not all pelvic lymph nodes can be removed because they are very difficult to find during an operation. Second, the possibility of a further incidence of metastases in the rest of the lymph system or body is absolutely not eliminated by the removal of some lymph nodes.

Is it better to remove lymph nodes or treat them?

The ectomy of lymph nodes, in particular the preventive removal of pelvic lymph nodes (enhanced lymph node dissection, eLND) still is controversial. Despite all side effects, is it still better to remove them, than to treat them targeted if necessary?

The goal is to destroy prostate cells that may have been left behind after surgery. This lowers the risk of recurrence and metastasis, or of the cancer spreading. Metastatic prostate cancer may not be curable, but there are treatments to slow progression and manage symptoms. Treatments may include: