Facharzt FMH Urologie Practice Questions - Facharzt FMH Für Urologie Spécialiste FMH En Urologie Exam

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A 66-year-old man with newly diagnosed high-risk localized prostate cancer (cT3a on MRI, PSA 24 ng/mL, biopsy ISUP Grade Group 4 [Gleason 4+4=8]) is scheduled for robotic-assisted radical prostatectomy. A validated nomogram calculates a 28% risk of pelvic lymph node involvement. According to EAU guidelines, what is the standard anatomical template for extended pelvic lymph node dissection (ePLND)?

Removal of obturator fossa lymph nodes exclusively Removal of external iliac and superficial inguinal lymph nodes Removal of obturator, external iliac, and internal iliac (hypogastric) lymph node packets bilaterally Removal of common iliac, para-aortic, and paracaval lymph nodes up to the renal vessels only

Correct Answer:

Removal of obturator, external iliac, and internal iliac (hypogastric) lymph node packets bilaterally

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