Value of preoperative evaluation in patients with lymphoma.
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.
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D006689:Hodgkin Disease / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008099:Liver / Q000000981:diagnostic imaging; D008223:Lymphoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D011379:Prognosis; D011877:Radionuclide Imaging; D013154:Spleen / Q000000981:diagnostic imaging