BARRY KISLOFF, M.D.
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To the editor: Some statements in Dr. Ralph E. Johnson's article on staging laparotomy in Hodgkin's disease in the September issue (Ann Intern Med 75:459-462, 1971) are confusing.
Dr. Johnson makes the point that laparotomy can be useful in Hodgkin's disease of stage II or less, when the disease is above the diaphragm, only if positive nodes or liver specimens, or both, are obtained. Negative histological findings, he claims, are probably not accurate enough to enable the physician to safely omit prophylactic radiotherapy to the lumbar periaortic nodes and splenic pedicle.
When discussing the indications for laparotomy, however, Dr. Johnson
KISLOFF B. Laparotomy in Hodgkin's Disease. Ann Intern Med. ;75:973–974. doi: 10.7326/0003-4819-75-6-973_2
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Published: Ann Intern Med. 1971;75(6):973-974.
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