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CA: A Cancer Journal for Clinicians, Vol 21, 95-101, Copyright © 1971 by American Cancer Society

Method of Evaluating Children With Hodgkin's Disease

¹ Chief, Pediatric Surgery Service, Memorial Hospital for Cancer and Allied Diseases, New York, New York.

Hodgkin's disease in children can be controlled by megavoltage radiotherapy if every focus of involvement is detected and treated.

Exploratory laparotomy is a necessary adjunct to the early identification of all areas of abdominal Hodgkin's disease in children and should be performed on every patient with Stage I, II or III disease.

Laparotomy includes the following procedures: splenectomy for histological diagnosis and reduction in the size of the abdominal radiotherapy portal; lymph node and liver biopsy; marking the boundaries of nodal disease for identification of involved areas and sparing of normal areas during radiotherapy; transposing the ovaries to the iliac crest to protect them from radiation directed to the involved nodes.