Oncologic Outcomes of Lymph Node Dissection at Salvage Radical Prostatectomy Article Swipe
Felix Preißer
,
Reha‐Baris Incesu
,
Paweł Rajwa
,
Marcin Chłosta
,
Mohamed E. Ahmed
,
Andre Luis Abreu
,
Giovanni Cacciamani
,
Luís Ribeiro
,
Alexander Kretschmer
,
Thilo Westhofen
,
Joseph A. Smith
,
Markus Graefen
,
Giorgio Calleris
,
Yannic Raskin
,
Paolo Gontero
,
Steven Joniau
,
Rafael Sanchez‐Salas
,
Shahrokh F. Shariat
,
Inderbir S. Gill
,
R. Jeffrey Karnes
,
Paul Cathcart
,
Henk G. van der Poel
,
Giancarlo Marra
,
Derya Tilki
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/cancers15123123
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.3390/cancers15123123
Background: Lymph node invasion (LNI) represents a poor prognostic factor after primary radical prostatectomy (RP) for prostate cancer (PCa). However, the impact of LNI on oncologic outcomes in salvage radical prostatectomy (SRP) patients is unknown. Objective: To investigate the impact of lymph node dissection (LND) and pathological lymph node status (pNX vs. pN0 vs. pN1) on long-term oncologic outcomes of SRP patients. Patients and methods: Patients who underwent SRP for recurrent PCa between 2000 and 2021 were identified from 12 high-volume centers. Kaplan–Meier analyses and multivariable Cox regression models were used. Endpoints were biochemical recurrence (BCR), overall survival (OS), and cancer-specific survival (CSS). Results: Of 853 SRP patients, 87% (n = 727) underwent LND, and 21% (n = 151) harbored LNI. The median follow-up was 27 months. The mean number of removed lymph nodes was 13 in the LND cohort. At 72 months after SRP, BCR-free survival was 54% vs. 47% vs. 7.2% for patients with pNX vs. pN0 vs. pN1 (p < 0.001), respectively. At 120 months after SRP, OS rates were 89% vs. 81% vs. 41% (p < 0.001), and CSS rates were 94% vs. 96% vs. 82% (p = 0.02) for patients with pNX vs. pN0 vs. pN1, respectively. In multivariable Cox regression analyses, pN1 status was independently associated with BCR (HR: 1.77, p < 0.001) and death (HR: 2.89, p < 0.001). Conclusions: In SRP patients, LNI represents an independent poor prognostic factor. However, the oncologic benefit of LND in SRP remains debatable. These findings underline the need for a cautious LND indication in SRP patients as well as strict postoperative monitoring of SRP patients with LNI.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/cancers15123123
- https://www.mdpi.com/2072-6694/15/12/3123/pdf?version=1686279687
- OA Status
- gold
- Cited By
- 3
- References
- 12
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4380078358
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4380078358Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/cancers15123123Digital Object Identifier
- Title
-
Oncologic Outcomes of Lymph Node Dissection at Salvage Radical ProstatectomyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-09Full publication date if available
- Authors
-
Felix Preißer, Reha‐Baris Incesu, Paweł Rajwa, Marcin Chłosta, Mohamed E. Ahmed, Andre Luis Abreu, Giovanni Cacciamani, Luís Ribeiro, Alexander Kretschmer, Thilo Westhofen, Joseph A. Smith, Markus Graefen, Giorgio Calleris, Yannic Raskin, Paolo Gontero, Steven Joniau, Rafael Sanchez‐Salas, Shahrokh F. Shariat, Inderbir S. Gill, R. Jeffrey Karnes, Paul Cathcart, Henk G. van der Poel, Giancarlo Marra, Derya TilkiList of authors in order
- Landing page
-
https://doi.org/10.3390/cancers15123123Publisher landing page
- PDF URL
-
https://www.mdpi.com/2072-6694/15/12/3123/pdf?version=1686279687Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2072-6694/15/12/3123/pdf?version=1686279687Direct OA link when available
- Concepts
-
Prostatectomy, Medicine, Dissection (medical), Lymph node, Urology, Salvage therapy, Prostate cancer, Surgery, General surgery, Internal medicine, Cancer, ChemotherapyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
3Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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12Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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