Radiologic Evaluation of Subdiaphragmatic Spread of Hodgkin's Disease

Abstract
A prospective investigation is presented on the usefulness of lymphography, computed tomography [CT], ultrasound, radionuclide examinations, and fine-needle aspiration biopsy of the spleen and the liver in assessing subdiaphragmatic spread of [human] Hodgkin''s disease. Initial staging laparotomy is superior to all other diagnostic procedures. If laparotomy cannot be performed, CT and scintigraphy of the spleen are recommended. At restaging CT and lymphography provide equal diagnostic yield; CT is suggested to be used in the 1st place.