Abstract
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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