title: [The surgeon facing malignant non-Hodgkin's lymphoma of the abdomen in children].
abstract: From February 1981 to December 1988, 30 children with Abdominal Malignant Non Hodgkin's Lymphoma (NHL) have been followed and treated in the Department of Pediatric Surgery of Saint Vincent de Paul's Hospital. The place of surgery in the Diagnosis, Evolution and Treatment of NHL is defined. In the diagnostic Stage, Surgery should be a fortuitous event, as in some cases of acute Intestinal Intussusception, or Appendicectomy, where lymphoma is an unexpected discovery. In all other cases, a cytologic study of ascites and/or pleural effusion that should be searched, can give a quick and reliable Diagnosis. Exceptionally, a complication of chemotherapy, as a peritonitis, with or without intestinal perforation, require an intervention. Most often in cases of already diagnosed and treated NHL, an abdominal residual mass have to be removed surgically and submitted to careful pathologic examination, to determine further treatment. If in some cases, initial Diagnosis is an unexpected discovery, the treatment of NHL is essentially medical. Surgery takes place in the Remission Evaluation after conventional chemotherapy.
authors.affiliation: Service de Chirurgie Pédiatrique, Hôpital Saint-Vincent-de-Paul, Paris.
authors.forename: A
authors.initials: A
authors.lastname: Wakim
authors.forename: P G
authors.initials: PG
authors.lastname: Helardot
authors.forename: E
authors.initials: E
authors.lastname: Sapin
mesh_terms: D000008:Abdominal Neoplasms / Q000188:drug therapy / Q000601:surgery*; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000188:drug therapy / Q000601:surgery*
vernacular_title: Le chirurgien face au lymphome abdominal malin non hodgkinien de l'enfant.