Is staging laparotomy for Hodgkin's disease still justified?

Paul W. Nelson, Courtney Townsend, Daryl L. Eakin, John J. Costanzi

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The records of 50 consecutive patients who underwent staging laparotomy for Hodgkin's disease were reviewed. Preoperative clinical stages were as follows: stage I, 12 patients; stage II, 20 patients; and stage III, 18 patients. The accuracy of preoperative lymphangiography, confirmed pathologically, was 80 percent. Early experience with computed axial tomographic scanning is promising. The stages of 20 patients (40 percent) were changed by laparotomy, and their treatment was altered as a result. Fourteen patients were upstaged and 6 downstaged. Patients who were upstaged to stage IIIB or IV received chemotherapy; those downstaged to stage I or II received radiotherapy only. Sixty-seven percent of patients with preoperative constitutional symptoms (class B) had positive findings at laparotomy, compared with only 28 percent of patients without such symptoms (class A). Patients with mixed cellularity or lymphocyte-depleted histology were more likely to have positive findings at laparotomy. There were four complications and no operative deaths. We conclude that staging laparotomy retains a useful role in the diagnosis and management of Hodgkin's lymphoma.

Original languageEnglish (US)
Pages (from-to)288-292
Number of pages5
JournalThe American Journal of Surgery
Volume143
Issue number3
DOIs
StatePublished - 1982
Externally publishedYes

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Hodgkin Disease
Laparotomy
Lymphography
Histology
Radiotherapy
Lymphocytes
Drug Therapy

ASJC Scopus subject areas

  • Surgery

Cite this

Is staging laparotomy for Hodgkin's disease still justified? / Nelson, Paul W.; Townsend, Courtney; Eakin, Daryl L.; Costanzi, John J.

In: The American Journal of Surgery, Vol. 143, No. 3, 1982, p. 288-292.

Research output: Contribution to journalArticle

Nelson, Paul W. ; Townsend, Courtney ; Eakin, Daryl L. ; Costanzi, John J. / Is staging laparotomy for Hodgkin's disease still justified?. In: The American Journal of Surgery. 1982 ; Vol. 143, No. 3. pp. 288-292.
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