Abstract
During the last two decades, staging laparotomy with splenectomy was adopted by many centers as a routine procedure in the work-up of patients with early stage Hodgkin’s disease (HD). This staging procedure determines accurately subdiaphragmatic involvement with HD, thus reduces the extent of radiation therapy (RT). However, despite negative findings at laparotomy, RT continues to be delivered to the upper paraaortic nodes and splenic bed in many centers [1, 2, 3]. Since dissemination of HD in the abdomen appears to begin in the spleen and/or in the lymph nodes of the upper abdomen [4], this routine extention of the RT port to the upper abdomen makes it difficult to assess the role of staging with laparotomy procedure in the prevention of abdominal relapse.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Kaplan HS (1980). Hodgkin’s disease, 2nd Ed. Boston: Harvard University Press.
Hellman S and Mauch P (1982). Role of radiation therapy in the treatment of Hodgkin’s disease. Cancer Treat Rep 66: 915–923.
Wiernik PH (1982). Combined modality of early stage Hodgkin’s disease. In: Wiernik PH (Ed.). Wiernik PH, pp. 3–7. John Wiley & Sons.
Desser RK, Golomb HM, Ultmann JE et al. (1977). Prognostic classification of Hodgkin’s disease in pathologic Stage III, based on anatomic considerations. Blood 49: 883–893.
Kauffman JH, Mittelman A, Kim U et al. (1979). The place of laparotomy in the staging of patients with Hodgkin’s and non-Hodgkin’s lymphomas. A randomized study. Abdominal Surg 21: 139–147.
Gomez GA, Panahon AM, Stutzman L et al. Large mediastinal mass in Hodgkin’s disease. Results of two treatment modalities. Amer J Clin Oncol (CCT) (in press).
Gomez GA, Friedman M and Reese P (1983). Occurrence of acute non-lymphocytic leukemia in a prospective randomized study of treatment for Hodgkin’s disease. Amer J Clin Oncol (CCT) 6: 319–324.
Gomez GA, Park JJ, Panahon AM et al. (1983). Heart size and function after radiation therapy to the mediastinum in patients with Hodgkin’s disease. Cancer Treat Rep 67: 1099–1103.
Gomez GA, Reese PA, Nava H et al. Staging laparotomy and splenectomy in early Hodgkin’s disease. No therapeutic benefit. Amer J Med (in press).
Stutzman L and Glidewell O (1973). Multiple chemotherapeutic agents for Hodgkin’s disease. JAMA 225: 1202–1211.
Lacher MJ (1983). Routine staging laporatomy for patients with Hodgkin’s disease is no longer necessary. Cancer Invest 1: 93–99.
Bergsagel DE, Ellison RE, Beau HA et al. (1982). Results of treating Hodgkin’s disease without a policy of staging laparotomy. Cancer Treat Rep 66: 717–731.
Strum SB and Rappaport H (1971). The persistence of Hodgkin’s disease in long-term survivors. Amer J Med 51: 222–240.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1985 Martinus Nijhoff Publishers, Boston
About this chapter
Cite this chapter
Gomez, G.A. et al. (1985). Staging laparotomy with splenectomy in Stage I and II Hodgkin’s disease. No therapeutic benefit. In: Cavalli, F., Bonadonna, G., Rozencweig, M. (eds) Malignant Lymphomas and Hodgkin’s Disease: Experimental and Therapeutic Advances. Developments in Oncology, vol 32. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2607-6_39
Download citation
DOI: https://doi.org/10.1007/978-1-4613-2607-6_39
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4612-9632-4
Online ISBN: 978-1-4613-2607-6
eBook Packages: Springer Book Archive