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The Surgical Treatment of Hodgkin's Disease

The Pack Medical Foundation, New York, New York

Re-evaluation of the role of radical surgery in the treatment of early Hodgkin's disease is proposed. The correct application of surgical techniques for the diagnosis of Hodgkin's disease and the treatment of complications and concurrent unrelated diseases is elaborated. The acceptable indications and probable contraindications for radical extirpative dissection followed by a full tumor dose of irradiation as the initial treatment of patients with unifocal Hodgkin's disease are discussed.

A significantly higher 10-year survival rate occurred in a limited number of patients with early Hodgkin's disease treated initially with radical surgery and irradiation as compared with a group treated with irradiation only. Further re-examination of this approach is justified.