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November 3, 1978

Accessory Spleen in Hodgkin's Disease

Author Affiliations

From the Department of Internal Medicine (Maj Jacobson and Col Reynolds), David Grant Medical Center, Travis Air Force Base, Calif, and the Department of Medicine (Col Reynolds), University of California School of Medicine, Davis.

JAMA. 1978;240(19):2081. doi:10.1001/jama.1978.03290190059034

STAGING laparotomy and splenectomy commonly are used in the evaluation of Hodgkin's disease. However, to the best of our knowledge, there are no reports in the literature of the dilemma encountered when a patient with Hodgkin's disease postoperatively has a functioning accessory spleen. We report the case of such a patient and discuss the role of the accessory spleen in patients with Hodgkin's disease.

Report of a Case  A 19-year-old man was hospitalized for evaluation of left cervical adenopathy and splenomegaly. A biopsy specimen of a left posterior cervical node was interpreted as showing Hodgkin's disease, mixed cell type. Chest roentgenograms showed a widened mediastinum. Hepatosplenomegaly was demonstrated by a sodium pertechnetate Tc 99m isotope scan. Bone marrow biopsy specimens of the left posterior iliac crest were normal. Bilateral lower extremity lymphangiography results were interpreted as showing possible bilateral abnormalities in the para-aortic regions between the second and fifth lumbar