RAMONA M. CHAPMAN, M.D.; WILLIAM H. CROSBY, M.D.
To the editor: In the December 1981 issue Jacobs and colleagues (1), with somewhat faulty logic, discuss the management of pregnant patients with Hodgkin's disease. They recommend local radiation in inadequately staged women. A good rule in planning curative cancer therapy is to treat local disease with local therapy (surgery or radiation); treat systemic disease with systemic therapy (drugs). Application of this rule led to the successful practice of staging and treating patients with Hodgkin's disease.
But in the pregnant woman adequate staging is proscribed. She is, by necessity, understaged. When laparotomy is omitted there is a 30% chance of
CHAPMAN RM, CROSBY WH. Hodgkin's Disease and the Pregnant Patient. Ann Intern Med. ;96:681–682. doi: 10.7326/0003-4819-96-5-681
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Published: Ann Intern Med. 1982;96(5):681-682.
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