Angerer-Shpilenya M, Jakse G
Urologische Klinik, Universitätsklinikum, RWTH-Aachen, Pauwelsstr. 30, 50072 Aachen.
Urologe A. 2009 Jan;48(1):54-8. doi: 10.1007/s00120-008-1761-y.
Inguinal lymphadenectomy is performed according to the clinical features as well as the risk factors of the primary tumor. In cases involving more than two positive lymph nodes or extranodal growth as well as positive imaging, pelvic lymphadenectomy is indicated. Large or fixed inguinal nodes as well as iliac lymph nodes seen on computed tomography scanning are a good indication for neoadjuvant rather than adjuvant chemotherapy.
腹股沟淋巴结清扫术根据原发肿瘤的临床特征以及危险因素进行。对于涉及两个以上阳性淋巴结或结外生长以及影像学检查呈阳性的病例，建议进行盆腔淋巴结清扫术。计算机断层扫描显示的大的或固定的腹股沟淋巴结以及髂淋巴结是新辅助化疗而非辅助化疗的良好指征。
