Abstract
To assess the accuracy of computerized tomography in the preoperative detection of pelvic lymph node enlargement we evaluated prospectively 23 patients with potentially resectable cancer of the prostate. Subsequent staging pelvic lymphadenectomy revealed falsely negative studies in 7 patients and a falsely positive study in 1. The inaccuracy of computerized tomography mitigates against its use as a preoperative staging modality and confirms the value of pelvic lymphadenectomy as a means of detecting pelvic lymph node enlargement in patients with cancer of the prostate.
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