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Is there any role for regional lymph node dissection with radical nephrectomy for patients with early stage RCC?

Wouldn't lymph node dissection improve sensitivity of staging and inform adjuvant treatment decisions?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Washington School of Medicine
Answered on

Patients with early stage RCC without unfavorable clinical pathologic features and clinically positive nodes have a low incidence of nodal metastasis. LND is unnecessary in these patients. Furthermore, renal lymphatic drainage is unpredictable.

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