Key result
Radiographic review correctly changes clinical staging in only 10% of patients while introducing equal errors.
Why the study?
Do radiographic studies (excretory urography, inferior vena cavography, lymphangiography) improve staging accuracy in patients with Hodgkin's disease?
Observational (n=55)
Do radiographic studies (excretory urography, inferior vena cavography, lymphangiography) improve staging accuracy in patients with Hodgkin's disease?
Radiographic studies have limited contribution to the final staging of Hodgkin's disease, with inferior vena cavography recommended as the initial study if extensive work-up is pursued.
Radiographic staging rarely alters Hodgkin management; leaves open whether modern imaging improves accuracy over these modalities.
The relative merits of excretory urography, inferior vena cavography and lymphangiography performed in 55 patients with Hodgkin's disease referred for staging and exploration were compared. The contribution of these studies to final staging appears limited. Radiographic review correctly changed clinical staging in only 10%, erroneously in 10%, and failed to detect additional disease in 16%. If extensive work-up in staging of Hodgkin's disease must continue, inferior vena cavography should be the first study. Lymphangiography should be performed in patients with normal inferior vena cavagrams (IVC) but is unnecessary and potentially dangerous when the IVC is abnormal.
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Brower et al. (1974) conducted an observational in Hodgkin's disease (n=55). Radiographic studies (excretory urography, inferior vena cavography, lymphangiography) was evaluated on Change in clinical staging. Radiographic review correctly changed clinical staging in only 10% of patients, erroneously changed it in 10%, and failed to detect additional disease in 16%.
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