[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.159.129.152. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
August 6, 1973

Problems in the Staging of Hodgkin Disease

Author Affiliations

USA
USA
Letterman Army Medical Center San Francisco

JAMA. 1973;225(6):635. doi:10.1001/jama.1973.03220330047017
Abstract

To the Editor.—  In hospitals where patients with Hodgkin disease are not entered into protocol studies, staging is discontinued when enough information has been gathered to make a decision about treatment procedures—radiotherapy, chemotherapy, or the combined modalities.The following report demonstrates how mediastinoscopy may be useful in arrival at the stage III designation when a patient presents with disease below the diaphragm.

Report of a Case.—  A 20-year-old man with a three-week history of fever and night sweats had a 4×4 cm right lower quadrant mass without other adenopathy or splenomegaly and nodular sclerosing Hodgkin disease on biopsy. Other studies showed leukopenia, anemia, and a hypercellular bone marrow. A right upper lobe pneumonitis that occurred postoperatively after the biopsy cleared completely with antibiotic treatment. Negative staging procedures included tomographic liver scan, intravenous pyelogram, closed liver biopsy, and peritoneoscopy with multiple liver biopsies. A second bone marrow biopsy showed early fibrosis

×