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[Staging of Hodgkin's disease in childhood]
Any therapy of the Morbus Hodgkin depends on an exact staging. Until 1969 staging was done after evaluation of different parameters such as histological examination of lymph nodes, scintigraphy of liver and spleen, laboratory tests, and finally the clinical picture. Classification of lymphogranulomatosis was quite ameliorated after introduction of the staging laparotomy with or without splenectomy as a diagnostic routine procedure by Glatstein and Coworkers in 1969. And today any adequate therapy is based on this surgical staging. Before planning the laparotomy some questions are important for the pediatric surgeon and the oncologist: Which complication are to be expected? Should there always be a splenectomy, and does it have dangerous sequelae? Are simultaneous surgical intervention indicated? Which is the right timing for the staging laparotomy?
Any therapy of the Morbus Hodgkin depends on an exact staging. Until 1969 staging was done after evaluation of different parameters such as histological examination of lymph nodes, scintigraphy of liver and spleen, laboratory tests, and finally the clinical picture. Classification of lymphogranulomatosis was quite ameliorated after introduction of the staging laparotomy with or without splenectomy as a diagnostic routine procedure by Glatstein and Coworkers in 1969. And today any adequate therapy is based on this surgical staging. Before planning the laparotomy some questions are important for the pediatric surgeon and the oncologist: Which complication are to be expected? Should there always be a splenectomy, and does it have dangerous sequelae? Are simultaneous surgical intervention indicated? Which is the right timing for the staging laparotomy?