The contemporary incidence of lymph node metastases in prostate cancer: implications for laparoscopic lymph node dissection

J Urol. 1993 Jun;149(6):1488-91. doi: 10.1016/s0022-5347(17)36424-8.


The incidence of lymphatic metastases in 229 consecutive patients with clinically localized prostatic cancer was assessed. Only 13 patients had nodal metastases, for an incidence of 5.7%. A monoclonal prostatic specific antigen value of more than 40 ng./ml. correlated with a positive predictive value of 53% for nodal metastases. Routine laparoscopic node dissection is unnecessary considering the low incidence of nodal metastases.

MeSH terms

  • Humans
  • Incidence
  • Laparoscopy
  • Lymph Node Excision / methods*
  • Lymphatic Metastasis / diagnosis*
  • Male
  • Pelvis
  • Predictive Value of Tests
  • Prostate-Specific Antigen / analysis
  • Prostatectomy
  • Prostatic Neoplasms / pathology*
  • Prostatic Neoplasms / surgery
  • Sensitivity and Specificity


  • Prostate-Specific Antigen