Management of Hodgkin's disease in childhood.

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Abstract
Hodgkin''s disease in childhood is essentially similar to that in adults, although boys outnumber girls before puberty. Children with this disease should be fully investigated, and in older children investigation should probably include diagnostic laparotomy and splenectomy. In younger children splenectomy is best avoided because of the subsequent danger of infection, and this dictates the need for chemotherapy in most patients so that all potential disease is treated. Modern techniques of radiotherapy and chemotherapy are capable of curing the majority of children. The choice of treatment should be designed to ensure the best chance of eradication of the disease with minimum damage to the patient, particularly in terms of subsequent growth and development.