Incidental findings in pelvic lymph nodes at radical prostatectomy. Issue 8 (1st August 2002)

• Record Type: Journal Article
• Authors: Winstanley, A M; Sandison, A; Bott, S R J; Dogan, A; Parkinson, M C
• Is Part Of: Journal of clinical pathology. Volume 55:Issue 8(2002)
• Page Start: 623
• Page End: 626
• Publication Date: 2002-08-01
• Subjects: pelvic lymph nodes -- lymphadenectomy -- radical prostatectomy -- incidental findings; EDX, dispersive x ray microanalysis -- H&E, haematoxylin and eosin; Pathology -- Periodicals; Pathology, Molecular -- Periodicals; 616.0705
• DOI: 10.1136/jcp.55.8.623
• Languages: English
• ISSNs: 0021-9746

Abstract

Abstract : Aims: To assess the frequency and cause of incidental (non-metastatic) lymph node pathology discovered before or at radical prostatectomy. Methods: Eight hundred and fifty four consecutive lymphadenectomies received between 1988 and 2001 were reviewed. All had been processed and stained routinely. Additional techniques, indicated by morphology, were then performed. Results: Incidental pathology was found in 15 cases: florid sinus histiocytosis following prosthetic joint replacement (eight), non-caseating granulomas (three), small lymphocytic cell lymphoma (two), follicular lymphoma (one), and foreign body reaction (one). Incidental pathology was present in 1.8% of 854 patients who underwent pelvic lymphadenectomy during radical prostatectomy. Conclusion: Awareness of possible non-metastatic lymph node pathology aids histological diagnosis and may be clinically relevant.