Diagnostic Laparotomy and Splenectomy for Staging Hodgkin's Disease.
The rational use of potentially curative radiotherapy in Hodgkin's disease is dependent upon an exact determination of disease location. Current diagnostic methods of detecting abdominal disease are known to be of limited accuracy. In an effort to more accurately determine the extent of abdominal disease, diagnostic laparotomies and splenectomies were performed on 12 Hodgkin's disease patients. Preoperatively, these patients were staged (based on the recommendations of the Rye Conference, 1966) as follows: two were II-A, seven were III-A, and three were III-B. Four out of nine abnormal lymphangiograms were uncorroborated by surgical findings and biopsies, as was one positive inferior...
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