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CASE REPORT
Year : 2012  |  Volume : 28  |  Issue : 3  |  Page : 353-356

Incidental metastatic endocrine tumor diagnosed at laparoscopic radical prostatectomy and bilateral lymph node dissection


1 Department of Urology, Freeman Hospital, NE7 7DN, United Kingdom
2 Department of Histopathology, Royal Victoria Infirmary, Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, NE1 4LP, United Kingdom

Correspondence Address:
Alistair George Rogers
14 Ashtrees Gardens, Gateshead Tyne and Wear, NE95BJ
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.102728

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The introduction and expansion of laparoscopic and robotic radical retropubic prostatectomy (LRRP and RRRP) for organ-confined prostate cancer have led to an increase in pelvic lymphadenectomy specimens. Extended lymph node dissection (eLND) involves removing nodes over the obturator fossa, external ileac vessels as well as the internal iliac and increases the number of nodes examined. This has the potential to increase incidental nonprostatic nodal pathology identified in prostatectomy specimens. For the first time in the current literature we report the incidental diagnosis of a metastatic small bowel endocrine tumor in a 69-year-old gentleman, made at the time of LRRP and bilateral lymph node dissection. This report suggests that the benefit of an extended lymph node dissection is not only to prostate cancer control and staging, but also to the possibility of diagnosing potentially treatable incidental disease. It is a possibility that both pathologists and urologists alike should be aware of.


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