Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press62410.17650/1726-9776-2017-13-2-174-188DIAGNOSIS AND TREATMENT OF URINARY SYSTEM TUMORS. PROSTATE CANCERДИАГНОСТИКА И ЛЕЧЕНИЕ ОПУХОЛЕЙ МОЧЕПОЛОВОЙ СИСТЕМЫ. Рак предстательной железыSalvage lymphadenectomy in patients with recurrent prostate cancer after radical prostatectomy A.O. Vasil’ev, A.V. Govorov, D.Yu. Pushkar’Сальважная лимфаденэктомия у пациентов с рецидивом рака предстательной жедезы после радикальной простатэктомииVasil’evA. O.ВасильевА. О.
Russian Federation

Urology Department 

Build. 1, 20 Delegatskaya St., Moscow 127473

Васильев Александр Олегович - ассистент кафедры урологии 

127473 Москва, ул. Делегатская, 20

doctormma@yandex.ruGovorovA. V.ГоворовА. В.
Russian Federation

Urology Department

Говоров Александр Викторович

Кафедра урологии

alexgovorov@newmail.ruPushkar’D. Yu.ПушкарьД. Ю.
Russian Federation

Urology Department

Пушкарь Дмитрий Юрьевич

Кафедра урологии

doctormma@yandex.ruA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава России3006201713267732910201611012017https://oncourology.abvpress.ru/oncur/article/view/624

A separate group of patients who underwent radical prostatectomy, make patients with isolated recurrence of cancer in the lymph nodes, limited by regional and / or retroperitoneal lymph nodes. Alternatively, treatment of this patient group can be used open or laparoscopic lymphadenectomy (robot-assisted). The analysis of literature indicate an increase in disease-free survival of these patients during lymphadenectomy. Imaging techniques such as multiparametric magnetic resonance imaging and positron emission tomography, allow more accurately identify lymph nodes in patients with biochemical recurrence of prostate cancer after radical prostatectomy. 

Отдельную группу больных, перенесших радикальную простатэктомию, составляют пациенты с изолированным рецидивом рака в лимфатических узлах, ограниченных регионарными и / или забрюшинными лимфатическими узлами. В качестве одного из вариантов лечения данной группы пациентов может быть применена лимфаденэктомия открытым или лапароскопическим (робот-ассистированным) доступами. Проведенный анализ литературных источников указывает на увеличение общей выживаемости данной группы пациентов при проведении лимфаденэктомии. Доступные методы визуализации, такие как мультипараметрическая магнитно-резонансная томография и позитронно-эмиссионная томография, позволяют более точно идентифицировать поражение лимфатических узлов у пациентов с биохимическим рецидивом рака простаты после радикальной простатэктомии. 

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