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Title: The staging of Hodgkin's disease. Author: Moormeier JA, Williams SF, Golomb HM. Journal: Hematol Oncol Clin North Am; 1989 Jun; 3(2):237-51. PubMed ID: 2663825. Abstract: The approach to staging patients with Hodgkin's disease has changed over the last 20 years. Although careful physical examination, chest radiograph, and bipedal lymph-angiogram remain the mainstays of the clinical evaluation, computed tomography (CT) scanning of the chest and abdomen is rapidly gaining acceptance as a useful ancillary procedure. In addition, the initial enthusiasm for the staging laparotomy and splenectomy as a necessary part of the staging evaluation is now coming into question. Recent studies raise legitimate concerns about this procedure's overall impact upon survival as well as the potential long-term consequences of splenectomy. Select situations do exist, however, where a staging laparotomy remains appropriate. An approach to the staging of newly diagnosed Hodgkin's disease is suggested and supported by recent studies of this disease.[Abstract] [Full Text] [Related] [New Search]