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March 1980

Value of Preoperative Evaluation in Patients With Lymphoma

Author Affiliations

From the Department of Surgery, Washington University School of Medicine, St. Louis.

Arch Surg. 1980;115(3):258-261. doi:10.1001/archsurg.1980.01380030014004

• The records of 136 patients with Hodgkin's lymphoma and of 32 patients with non-Hodgkin's lymphoma who underwent staging laparotomy were reviewed. There were changes in the clinical stage of 25% of the patients after laparotomy. Forty-one percent of the lymphangiograms and 55% of the liver-spleen scintiscans were inaccurate or nondiagnostic. There were few stage alterations by laparotomy in patients in clinical stages I and II. There was a higher frequency of stage changes in clinical stage III1 and III2 patients. Staging laparotomy is not recommended for clinical stages I and II but is mandatory for stages III1 and III2.

(Arch Surg 115:258-261, 1980)

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