The role of lymph node dissection in renal cell carcinoma

Int J Clin Oncol. 2011 Jun;16(3):186-94. doi: 10.1007/s10147-011-0241-3. Epub 2011 Apr 28.


Due to the relatively heterogeneous metastatic spread of renal cell carcinoma (RCC) through both hematogenous and lymphatogenous routes, the surgical extirpation of regional lymph nodes in the treatment of RCC has long been a controversial topic. Individual risk is dependent on multiple variables including tumor stage, grade, and histologic sub-type, in addition to many others. Controversy exists over whether lymph node dissection (LND) simply provides improved staging or whether removal of pathologic nodes offers a therapeutic advantage. Herein, we evaluate the available data regarding the use of LND in the treatment of RCC. While we believe that LND may provide an opportunity for cure in a select group of patients, there are many variables to consider when determining its applicability to an individual patient.

Publication types

  • Review

MeSH terms

  • Carcinoma, Renal Cell / pathology
  • Carcinoma, Renal Cell / secondary*
  • Carcinoma, Renal Cell / surgery*
  • Humans
  • Kidney Neoplasms / pathology
  • Kidney Neoplasms / surgery*
  • Lymph Node Excision / methods*
  • Lymph Node Excision / mortality
  • Lymph Nodes / pathology
  • Lymph Nodes / surgery*
  • Lymphatic Metastasis
  • Neoplasm Staging
  • Nephrectomy
  • Prospective Studies
  • Retrospective Studies

Supplementary concepts

  • Clear-cell metastatic renal cell carcinoma