scholarly journals International Society of Urological Pathology (ISUP) Consensus Conference on Handling and Staging of Radical Prostatectomy Specimens. Working group 4: seminal vesicles and lymph nodes

2010 ◽  
Vol 24 (1) ◽  
pp. 39-47 ◽  
Author(s):  
Daniel M Berney ◽  
◽  
Thomas M Wheeler ◽  
David J Grignon ◽  
Jonathan I Epstein ◽  
...  
Keyword(s):  
Radical Prostatectomy ◽  
Lymph Nodes ◽  
International Society ◽  
Working Group ◽  
Consensus Conference ◽  
Seminal Vesicles ◽  
Group 4

The Margins

1996 ◽  
Vol 63 (2) ◽  
pp. 192-195
Author(s):  
P. Graziotti ◽  
A. Losa ◽  
D. Belussi ◽  
D. Chinaglia ◽  
A. Lembo
Keyword(s):  
Lymph Node ◽  
Radical Prostatectomy ◽  
Lymph Nodes ◽  
Gradual Increase ◽  
Preoperative Staging ◽  
Surgical Margin ◽  
Seminal Vesicles ◽  
Positive Surgical Margin ◽  
Positive Surgical Margins ◽  
Positive Lymph Nodes

The gradual increase in indications for radical prostatectomy over these last few years has focussed attention on the issue of surgical margin positivity. In terms of prognosis, a positive surgical margin is comparable to lymph node positivity. The routine adoption of the most advanced anatomo-histological methods has increased our 17.5% of positive surgical margins to 30.2% despite surgical indication having become increasingly more rigid. In addition, more precise preoperative staging by echo-guided biopsy of the seminal vesicles and of periprostatic spaces, has allowed patients with positive lymph nodes to be reduced to just over 1%.

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