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This dissertation by Firas Aljabery explores the detection and biological mechanisms of lymph node metastasis in invasive urinary bladder cancer. Conducted at Linköping University, the study involves 122 patients treated with radical cystectomy and pelvic lymph node dissection. The research evaluates the efficacy of preoperative PET/CT and peroperative sentinel node biopsy for detecting lymph node metastasis. It further investigates macrophage infiltration in tumor stroma and the expression of tumor suppression proteins as potential prognostic indicators. The study concludes that PET/CT offers no significant advantage over conventional CT, and highlights the prognostic significance of lymphovascular invasion and lymph node metastasis density. This work is aimed at medical professionals and researchers in oncology and urology.

Lymphatic metastasis. --- Diagnostic imaging. --- Lymphatic metastasis --- Diagnostic imaging

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Blood --- Leukemia --- Multiple myeloma --- Lymphomas --- Hematology. --- Leukemia, Lymphoid. --- Lymphatic Metastasis. --- Diseases

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Breast Neoplasms --- Colorectal Neoplasms --- Lymphatic Metastasis --- Lymph Nodes --- Carcinoembryonic Antigen --- secondary --- genetics --- diagnosis --- chemistry --- analysis

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Sentinel lymph node (SLN) procedures have opened a window of opportunity for the study of micrometastasis. In eighty percent (80%) of metastasis there lies an orderly pattern of progression via the lymphatic network, while 20% of the time systemic metastasis occurs, bypassing the lymphatic system. During the past two decades, significant progress has been achieved in understanding the anatomical, functional, cellular and molecular aspects of the lymphovascular system and the metastasis process. · Molecular imaging advances help to localize early cancers more precisely. · Current status of the immune responses in the draining lymph nodes against cancer is summarized. · New paradigms of early cancer growth, proliferation, overcoming apoptosis are exploited in the development of anticancer treatment. In this book, basic scientists and clinicians exchange ideas so that laboratory findings can be applied to clinical dilemmas, and clinical problems can be targeted for research in the laboratory. Series editor's comments: "Cancer metastasis remains the greatest challenge for oncologists. The role of the lymphovascular system is critical and a focus of intense investigations. This text covers a spectrum of relevant research and clinical issues that impact on our understanding of this process." Steven T. Rosen, MD Series Editor.

Lymphatic metastasis. --- Lymphatics --- Metastasis --- Cancer --- Oncology  . --- Hematology. --- Internal medicine. --- Oncology. --- Internal Medicine. --- Medicine, Internal --- Medicine --- Haematology --- Internal medicine --- Blood --- Tumors --- Diseases

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In human solid tumors, nodal status is the most important prognostic indicator for patient outcome. Recent developments in the sentinel lymph node concept have resulted in new procedures to define the first draining node as the primary gateway through which the cancer will spread. In From Local Invasion to Metastatic Cancer: Involvement of Distant Sites Through the Lymphovascular System, a panel of international authorities takes an in-depth look at the role of the lymphovascular system in the spread of cancer. The authors summarize the findings of the Second International Symposium on Cancer Metastasis: Basis for Rational Therapy summit. Specifically, the book presents important developments in the biology and clinical understanding of cancer metastasis, describes the relationship between tumor microenvironment and proliferation, and defines the process of lymphangiogenesis and angiogenesis with special reference to cancer metastasis. From Local Invasion to Metastatic Cancer: Involvement of Distant Sites Through the Lymphovascular System provides oncologists, radiologists, and cancer researchers the necessary information to study and develop new strategies to curb the process of metastasis.

Lymphatic Metastasis -- Congresses. --- Metastasis. --- Oncology --- Medicine --- Health & Biological Sciences --- Metastasis --- Lymphangiogenesis --- Congresses --- Neovascularization, Pathologic --- Neoplasm Invasiveness --- Antineoplastic Combined Chemotherapy Protocols --- Lymphatic Metastasis --- Organogenesis --- Neoplasm Metastasis --- Publication Formats --- Antineoplastic Protocols --- Neoplastic Processes --- Metaplasia --- Drug Therapy, Combination --- Pathologic Processes --- Embryonic and Fetal Development --- Clinical Protocols --- Publication Characteristics --- Neoplasms --- Drug Therapy --- Morphogenesis --- Therapeutics --- Pathological Conditions, Signs and Symptoms --- Diseases --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Growth and Development --- Physiological Processes --- Physiological Phenomena --- Phenomena and Processes --- Lymphatic metastasis. --- Oncology. --- Medicine. --- Radiotherapy. --- Pathology. --- Surgical oncology. --- Medicine & Public Health. --- Surgical Oncology. --- Tumors --- Lymphatics --- Cancer --- Oncology  . --- Disease (Pathology) --- Medical sciences --- Medicine, Preventive --- Radiation therapy --- Electrotherapeutics --- Hospitals --- Medical electronics --- Medical radiology --- Therapeutics, Physiological --- Phototherapy --- Oncologic surgery --- Oncological surgery --- Surgical oncology --- Radiological services --- Excision --- Treatment --- Cancer metastasis --- Lymphovascular system