The efficacy of lymphangiography in the staging of pediatric Hodgkin's disease

D. L. Dudgeen, R. Kelly, M. J. Ghory, W. J. Halden, S. L. Kaufman, M. Wharam

Research output: Contribution to journalArticlepeer-review

Abstract

This is a retrospective study of 47 pediatric Hodgkin's disease patients, age 34 months to 21 years, mean 13.7 years, who had both a lymphanglogram and staging laparotomy between January 1, 1968 and December 31, 1984. Sixteen children had abnormal lymphangiograms but only five had histologically positive abdominal/retroperitoneal lymph nodes identified by staging laparotomy (11/16, 69%, false-positive). Thirty-one patients had normal lymphangiograms and three of these patients had histologically positive retroperitoneal lymph nodes (3/31, 10%, falsenegative). Overall accuracy of lymphangiogram diagnosis was 70%. Despite the reported high degree of accuracy of pediatric lymphangiograms by other investigators, we have not found this test to be helpful in the initial staging of pediatric Hodgkin's disease.

Original languageEnglish (US)
Pages (from-to)233-235
Number of pages3
JournalJournal of pediatric surgery
Volume21
Issue number3
DOIs
StatePublished - Mar 1986

Keywords

  • Hodgkin's disease
  • Lymphagiography
  • staging laparotomy

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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