JACOB J. LOKICH, M.D.
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To the editor: Dr. Johnson, in his report on "Staging Laparotomy in Hodgkin's Disease" (Ann Intern Med 75:459-462), has indicated that staging laparotomy should be performed in only two instances—in the presence of splenomegaly or in the presence of a positive lymphangiogram. He states that only in these two situations does the possibility of an alteration in therapy require confirmation. The implication is that in only these two situations does the likelihood of hepatic involvement become significant, which would in effect preclude radiotherapy and indicate the need for chemotherapy.
This logic presumes a basic premise not clarified in his report.
LOKICH JJ. Staging Laparotomy. Ann Intern Med. ;76:143–144. doi: 10.7326/0003-4819-76-1-143
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Published: Ann Intern Med. 1972;76(1):143-144.
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