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January 29, 1927


Author Affiliations


JAMA. 1927;88(5):301-307. doi:10.1001/jama.1927.02680310013003

The abdominal type of Hodgkin's disease is generally conceded to be the least prevalent of the internal forms of this malady, which may manifest itself as predominantly abdominal or mediastinal. In both of these types the disease may be either primary or secondary, the latter condition being more frequent. When abdominal symptoms are projected into the picture, they may render the making of a diagnosis exceedingly difficult. It is with the view of clarifying the disturbing situation which frequently arises under such circumstances that we desire to present what has impressed us as relatively the more common abdominal manifestations of the disease.

The abdominal type of Hodgkin's disease may be either localized or generalized, acute or chronic. Of the abdominal organs, the retroperitoneal glands, especially the peripancreatic and the gastrohepatic, and the spleen and the liver are most frequently affected. Primary involvement of any of these structures is thought to