Arab Board Urology Clinical Exam Practice Questions - Arab Board Of Health Specializations Urology Final Clinical And Oral Exam

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A 64-year-old male with clinically localized prostate cancer (PSA 16 ng/mL, cT2b, ISUP Grade Group 4 [Gleason 4+4=8]) is scheduled for robot-assisted radical prostatectomy. A validated nomogram calculates an estimated pelvic lymph node involvement risk of 22%. What constitutes the standard anatomical template for extended pelvic lymph node dissection (ePLND) in this patient?

Removal of external iliac, obturator fossa, and internal iliac (hypogastric) nodal packets up to the common iliac bifurcation bilaterally Removal of superficial inguinal and femoral canal lymph nodes only Sampling of the fat pad overlying the anterior bladder neck exclusively Excision of retroperitoneal paracaval and para-aortic lymph nodes only

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Removal of external iliac, obturator fossa, and internal iliac (hypogastric) nodal packets up to the common iliac bifurcation bilaterally

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