Skip to main content
NCBI home page
The British Journal of Cancer. Supplement logoLink to The British Journal of Cancer. Supplement
. 1975 Mar;2:228–236.

Staging laparotomy in non-Hodgkin's lymphoma.

E M Moran, J E Ultmann, D J Ferguson, P B Hoffer, K Ranniger, H Rappaport
PMCID: PMC2149585  PMID: 1101920

Abstract

In 57 patients with non-Hodgkin's lymphoma, a clinical, radiographic, scintigraphic and pathological correlative study showed the following results: (1) the inferior venacavagram, lymphangiogram and gallium-67 scan have a low sensitivity in detecting lymphoma: their accuracy is high when the findings are interpreted as abnormal (93%, 83% and 80% respectively), but low when they are interpreted as normal (47%, 67% and 58% respectively); (2) the clinical evaluation of spleen and liver is unreliable; (3) the incidence of lymphocytic lymphoma in the para-aortic-iliac nodes is high; (4) a pattern of involvement by contiguity and a predilection for the spleen were observed in lymphocytic lymphoma; (5) in lymphocytic lymphoma there is no liver involve without concomitant splenic involvement; (6) no definite pattern of spread could be seen in histiocytic lymphoma; (7) surgical staging changed the classification of the lymphoma in 56% of cases, 46% being reclassified to a more advanced stage; (8) surgical staging significantly improves the assessment of the stage of disease and therefore permits accurate treatment planning.

Full text

PDF
228

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Banfi A., Bonadonna G., Carnevali G., Oldini C., Salvini E. Preferential sites of involvement and spread in maignant lymphomas. Eur J Cancer. 1968 Jul;4(3):319–324. doi: 10.1016/0014-2964(68)90058-3. [DOI] [PubMed] [Google Scholar]
  2. Carbone P. P., Kaplan H. S., Musshoff K., Smithers D. W., Tubiana M. Report of the Committee on Hodgkin's Disease Staging Classification. Cancer Res. 1971 Nov;31(11):1860–1861. [PubMed] [Google Scholar]
  3. Edwards C. L., Hayes R. L. Tumor scanning with 67Ga citrate. J Nucl Med. 1969 Feb;10(2):103–105. [PubMed] [Google Scholar]
  4. Elias E. G., Park J. S., Mittelman A. Exploratory laparotomy for staging of lymphomas. Surgery. 1972 Oct;72(4):590–595. [PubMed] [Google Scholar]
  5. Ferguson D. J., Allen L. W., Griem M. L., Moran M. E., Rappaport H., Ultmann J. E. Surgical experience with staging laparotomy in 125 patients with lymphoma. Arch Intern Med. 1973 Mar;131(3):356–361. [PubMed] [Google Scholar]
  6. Glatstein E., Guernsey J. M., Rosenberg S. A., Kaplan H. S. The value of laparotomy and splenectomy in the staging of Hodgkin's disease. Cancer. 1969 Oct;24(4):709–718. doi: 10.1002/1097-0142(196910)24:4<709::aid-cncr2820240408>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
  7. Glatstein E., Trueblood H. W., Enright L. P., Rosenberg S. A., Kaplan H. S. Surgical staging of abdominal involvement in unselected patients with Hodgkin's disease. Radiology. 1970 Nov;97(2):425–432. doi: 10.1148/97.2.425. [DOI] [PubMed] [Google Scholar]
  8. Goffinet D. R., Castellino R. A., Kim H., Dorfman R. F., Fuks Z., Rosenberg S. A., Nelsen T., Kaplan H. S. Staging laparotomies in unselected previously untreated patients with non-Hodgkin's lymphomas. Cancer. 1973 Sep;32(3):672–681. doi: 10.1002/1097-0142(197309)32:3<672::aid-cncr2820320321>3.0.co;2-q. [DOI] [PubMed] [Google Scholar]
  9. Gutterman J. U., Rodriguez V., McClure J. B. Staging of malignant lymphoma by laparotomy and splenectomy: review of the literature. Mil Med. 1972 Jul;137(7):251–254. [PubMed] [Google Scholar]
  10. Han T., Stutzman L. Mode of spread in patients with localized malignant lymphoma. Arch Intern Med. 1967 Jul;120(1):1–7. [PubMed] [Google Scholar]
  11. Hanks G. E., Newsome J. F., Terry L. N., Jr The value of laparotomy in staging lymphomas. South Med J. 1971 May;64(5):585–588. doi: 10.1097/00007611-197105000-00016. [DOI] [PubMed] [Google Scholar]
  12. Hanks G. E., Terry L. N., Jr, Bryan J. A., Newsome J. F. Contribution of diagnostic laparotomy to staging non-Hodgkin's lymphoma. Cancer. 1972 Jan;29(1):41–43. doi: 10.1002/1097-0142(197201)29:1<41::aid-cncr2820290107>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
  13. Hass A. C., Brunk S. F., Gulesserian H. P., Givler R. L. The valve of exploratory laparotomy in malignant lymphoma. Radiology. 1971 Oct;101(1):157–165. doi: 10.1148/101.1.157. [DOI] [PubMed] [Google Scholar]
  14. Jones S. E., Rosenberg S. A., Kaplan H. S. Non-Hodgkin's lymphomas. I. Bone marrow involvement. Cancer. 1972 Apr;29(4):954–960. doi: 10.1002/1097-0142(197204)29:4<954::aid-cncr2820290442>3.0.co;2-5. [DOI] [PubMed] [Google Scholar]
  15. KAPLAN H. S. The radical radiotherapy of regionally localized Hodgkin's disease. Radiology. 1962 Apr;78:553–561. doi: 10.1148/78.4.553. [DOI] [PubMed] [Google Scholar]
  16. Molander D. W., Lacayo G. Malignant lymphomas: patterns of progression and factors influencing recurrence. Am J Roentgenol Radium Ther Nucl Med. 1970 Feb;108(2):348–353. doi: 10.2214/ajr.108.2.348. [DOI] [PubMed] [Google Scholar]
  17. Rosenberg S. A., Kaplan H. S. Evidence for an orderly progression in the spread of Hodgkin's disease. Cancer Res. 1966 Jun;26(6):1225–1231. [PubMed] [Google Scholar]
  18. SCHEER A. C. THE COURSE OF STAGE I MALIGNANT LYMPHOMAS FOLLOWING LOCAL TREATMENT. Am J Roentgenol Radium Ther Nucl Med. 1963 Nov;90:939–943. [PubMed] [Google Scholar]

Articles from The British Journal of Cancer. Supplement are provided here courtesy of Cancer Research UK

RESOURCES