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Is extended pelvic lymph node dissection REALLY required for staging of prostate cancer in the PSMA-PET era?

作者信息

Roberts Matthew J, Yaxley John W, Stranne Johan, van Oort Inge M, Tilki Derya

机构信息

Royal Brisbane and Women's Hospital, Department of Urology, Brisbane, QLD, Australia.

The University of Queensland, UQ Centre for Clinical Research, Brisbane, QLD, Australia.

出版信息

Prostate Cancer Prostatic Dis. 2024 Mar 22. doi: 10.1038/s41391-024-00821-3.

DOI:10.1038/s41391-024-00821-3
PMID:38519802
Abstract
摘要

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1
Is extended pelvic lymph node dissection REALLY required for staging of prostate cancer in the PSMA-PET era?在前列腺特异性膜抗原正电子发射断层扫描（PSMA-PET）时代，前列腺癌分期真的需要进行扩大盆腔淋巴结清扫术吗？
Prostate Cancer Prostatic Dis. 2024 Mar 22. doi: 10.1038/s41391-024-00821-3.
2
PSMA PET Scan Era: A Changing Paradigm PSMA PET and Lymph Node Dissection for Prostate Cancer Management.PSMA PET 扫描时代：前列腺癌管理中 PSMA PET 和淋巴结清扫的范式转变。
Semin Oncol Nurs. 2020 Aug;36(4):151044. doi: 10.1016/j.soncn.2020.151044. Epub 2020 Jul 25.
3
Pelvic lymph-node staging with F-DCFPyL PET/CT prior to extended pelvic lymph-node dissection in primary prostate cancer - the SALT trial.在原发性前列腺癌中，使用 F-DCFPyL PET/CT 进行盆腔淋巴结分期后行扩大盆腔淋巴结清扫术 - SALT 试验。
Eur J Nucl Med Mol Imaging. 2021 Feb;48(2):509-520. doi: 10.1007/s00259-020-04974-w. Epub 2020 Aug 12.
4
Ga-PSMA-11 Positron Emission Tomography/Computed Tomography for Primary Lymph Node Staging Before Radical Prostatectomy: Central Review of Imaging and Comparison with Histopathology of Extended Lymphadenectomy.镓-PSMA-11正电子发射断层扫描/计算机断层扫描用于根治性前列腺切除术前行原发性淋巴结分期：影像学的中心回顾及与扩大淋巴结清扫术组织病理学的比较
Eur Urol Focus. 2021 Mar;7(2):288-293. doi: 10.1016/j.euf.2021.01.004. Epub 2021 Jan 25.
5
Ga-PSMA PET/CT based primary staging and histological correlation after extended pelvic lymph node dissection at radical prostatectomy.基于镓-前列腺特异性膜抗原正电子发射断层扫描/计算机断层扫描（Ga-PSMA PET/CT）的根治性前列腺切除术中扩大盆腔淋巴结清扫术后的初始分期及组织学相关性研究
World J Urol. 2020 Dec;38(12):3085-3090. doi: 10.1007/s00345-020-03131-0. Epub 2020 Feb 26.
6
Primary lymph-node staging with Ga-PSMA PET in high-risk prostate cancer: pathologic correlation with extended pelvic lymphadenectomy specimens.高危前列腺癌中 Ga-PSMA PET 进行初级淋巴结分期：与扩大盆腔淋巴结清扫标本的病理相关性。
Urol Oncol. 2021 Aug;39(8):494.e1-494.e6. doi: 10.1016/j.urolonc.2020.10.074. Epub 2020 Nov 19.
7
Can Negative Prostate-specific Membrane Antigen Positron Emission Tomography/Computed Tomography Avoid the Need for Pelvic Lymph Node Dissection in Newly Diagnosed Prostate Cancer Patients? A Systematic Review and Meta-analysis with Backup Histology as Reference Standard.阴性前列腺特异性膜抗原正电子发射断层扫描/计算机断层扫描能否避免新诊断前列腺癌患者进行盆腔淋巴结清扫？一项以病理组织学为参考标准的系统评价和Meta分析
Eur Urol Oncol. 2022 Feb;5(1):1-17. doi: 10.1016/j.euo.2021.08.001. Epub 2021 Sep 17.
8
Histological comparison between predictive value of preoperative 3-T multiparametric MRI and Ga-PSMA PET/CT scan for pathological outcomes at radical prostatectomy and pelvic lymph node dissection for prostate cancer.术前 3-T 多参数 MRI 和 Ga-PSMA PET/CT 扫描对前列腺癌根治性前列腺切除术和盆腔淋巴结清扫术病理结果的预测价值的组织学比较。
BJU Int. 2021 Jan;127(1):71-79. doi: 10.1111/bju.15134. Epub 2020 Sep 7.
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Lymph node staging with 68Ga-PSMA PET in patients with intermediate and high-risk prostate cancer suitable for radical prostatectomy managed in a prostate cancer unit.在前列腺癌单 位管理的适合接受根治性前列腺切除术的中高危前列腺癌患者中，使用 68Ga-PSMA PET 进行淋巴结分期。
Chin Clin Oncol. 2023 Jun;12(3):22. doi: 10.21037/cco-23-10.
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Lymph node staging with fluorine-18 prostate specific membrane antigen 1007-positron emission tomography/computed tomography in newly diagnosed intermediate- to high-risk prostate cancer using histopathological evaluation of extended pelvic node dissection as reference.使用经病理组织学评估的扩展盆腔淋巴结清扫术作为参考，对新诊断的中高危前列腺癌患者进行氟-18 前列腺特异性膜抗原 1007-正电子发射断层扫描/计算机断层扫描进行淋巴结分期。
Eur J Nucl Med Mol Imaging. 2022 Sep;49(11):3929-3937. doi: 10.1007/s00259-022-05827-4. Epub 2022 May 11.

引用本文的文献

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Integrating Ga-PSMA-11 PET/CT with Clinical Risk Factors for Enhanced Prostate Cancer Progression Prediction.整合镓-PSMA-11 PET/CT与临床风险因素以增强前列腺癌进展预测
Cancers (Basel). 2025 Jul 9;17(14):2285. doi: 10.3390/cancers17142285.

本文引用的文献

1
De-Escalation of Therapy for Prostate Cancer.前列腺癌治疗的降级策略。
Am Soc Clin Oncol Educ Book. 2024 Jan;44(2):e430466. doi: 10.1200/EDBK_430466.
2
Development and External Validation of a Novel Nomogram to Predict the Probability of Pelvic Lymph-node Metastases in Prostate Cancer Patients Using Magnetic Resonance Imaging and Molecular Imaging with Prostate-specific Membrane Antigen Positron Emission Tomography.基于磁共振成像和前列腺特异性膜抗原正电子发射断层扫描分子成像的新型列线图预测前列腺癌患者盆腔淋巴结转移概率的建立与外部验证
Eur Urol Oncol. 2023 Dec;6(6):553-563. doi: 10.1016/j.euo.2023.03.010. Epub 2023 Apr 10.
3
Can Negative Prostate-specific Membrane Antigen Positron Emission Tomography/Computed Tomography Avoid the Need for Pelvic Lymph Node Dissection in Newly Diagnosed Prostate Cancer Patients? A Systematic Review and Meta-analysis with Backup Histology as Reference Standard.
阴性前列腺特异性膜抗原正电子发射断层扫描/计算机断层扫描能否避免新诊断前列腺癌患者进行盆腔淋巴结清扫？一项以病理组织学为参考标准的系统评价和Meta分析
Eur Urol Oncol. 2022 Feb;5(1):1-17. doi: 10.1016/j.euo.2021.08.001. Epub 2021 Sep 17.
4
Diagnostic Accuracy of 68Ga-PSMA-11 PET for Pelvic Nodal Metastasis Detection Prior to Radical Prostatectomy and Pelvic Lymph Node Dissection: A Multicenter Prospective Phase 3 Imaging Trial.68Ga-PSMA-11 PET 对根治性前列腺切除术和盆腔淋巴结清扫术前盆腔淋巴结转移检测的诊断准确性：一项多中心前瞻性 3 期影像学试验。
JAMA Oncol. 2021 Nov 1;7(11):1635-1642. doi: 10.1001/jamaoncol.2021.3771.
5
External Validation and Addition of Prostate-specific Membrane Antigen Positron Emission Tomography to the Most Frequently Used Nomograms for the Prediction of Pelvic Lymph-node Metastases: an International Multicenter Study.前列腺特异性膜抗原正电子发射断层扫描在外周淋巴结转移预测最常用列线图的外部验证和补充：一项国际多中心研究。
Eur Urol. 2021 Aug;80(2):234-242. doi: 10.1016/j.eururo.2021.05.006. Epub 2021 May 21.
6
Biochemical Persistence of Prostate-Specific Antigen After Robot-Assisted Laparoscopic Radical Prostatectomy: Tumor Localizations Using PSMA PET/CT Imaging.机器人辅助腹腔镜前列腺根治术后前列腺特异性抗原的生化持续存在：使用 PSMA PET/CT 成像进行肿瘤定位。
J Nucl Med. 2021 Jul 1;62(7):961-967. doi: 10.2967/jnumed.120.252528. Epub 2020 Nov 6.
7
Histological comparison between predictive value of preoperative 3-T multiparametric MRI and Ga-PSMA PET/CT scan for pathological outcomes at radical prostatectomy and pelvic lymph node dissection for prostate cancer.术前 3-T 多参数 MRI 和 Ga-PSMA PET/CT 扫描对前列腺癌根治性前列腺切除术和盆腔淋巴结清扫术病理结果的预测价值的组织学比较。
BJU Int. 2021 Jan;127(1):71-79. doi: 10.1111/bju.15134. Epub 2020 Sep 7.
8
Risk of metastatic disease on gallium-prostate-specific membrane antigen positron emission tomography/computed tomography scan for primary staging of 1253 men at the diagnosis of prostate cancer.前列腺癌初诊时行镓-前列腺特异性膜抗原正电子发射断层扫描/计算机断层扫描检查对 1253 例男性患者转移病灶的风险评估。
BJU Int. 2019 Sep;124(3):401-407. doi: 10.1111/bju.14828. Epub 2019 Jul 2.
9
Topography of lymph node metastases in prostate cancer patients undergoing radical prostatectomy and extended lymphadenectomy: results of a combined molecular and histopathologic mapping study.前列腺癌患者行根治性前列腺切除术和扩大淋巴结清扫术时淋巴结转移的分布：一项联合分子与组织病理学绘图研究的结果。
Eur Urol. 2014 Aug;66(2):222-9. doi: 10.1016/j.eururo.2013.02.007. Epub 2013 Feb 18.
10
The template of the primary lymphatic landing sites of the prostate should be revisited: results of a multimodality mapping study.前列腺原发性淋巴转移部位的模板应重新审视：一项多模态映射研究的结果
Eur Urol. 2008 Jan;53(1):118-25. doi: 10.1016/j.eururo.2007.07.035. Epub 2007 Aug 3.