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Lymphographic findings in prostatic carcinoma with distant metastases
Author(s) -
Veronesi A.,
Figoli F.,
Tirelli U.,
Carbone A.,
Grigoletto E.,
Merlo A.,
Francini M.
Publication year - 1986
Publication title -
the prostate
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.295
H-Index - 123
eISSN - 1097-0045
pISSN - 0270-4137
DOI - 10.1002/pros.2990080405
Subject(s) - medicine , asymptomatic , carcinoma , bone metastasis , bone disease , radiology , stage (stratigraphy) , cancer , metastasis , osteoporosis , paleontology , biology
From January 1976 to December 1981, 25 patients with prostatic carcinoma and distant metastases had lymphangiography (LAG) in their initial workup either to obtain a more precise definition of tumor extension or because at the time of LAG asymptomatic metastases had not yet been detected. In 18 patients extensive bone metastases were present while in seven the only indicator of bone metastases was bone scan (limited bone disease). Positivity rate was 48% (20% in T 2 cases, 53% in T 3 –T 4 ; 29% in limited bone disease, 53% in extensive bone metastases). No correlation was found between LAG positivity and degree of differentiation. Patients with N 0 survived longer than patients with N 2 ‐N 4 ; however, the difference in survival is not significant and seems to be linked to the extent of bone metastases. Our data substantiate that LAG is of no value in the staging of metastatic prostatic carcinoma.