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Lymphoma

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The Surgery of Childhood Tumors

Abstract

Although treatment of lymphoma in children is primarily medical in nature, the pediatric surgeon plays an important role in establishing the diagnosis and also has an impact on the timely initiation of chemotherapy for these rapidly growing tumors. The surgeons contributions are crucial to successful management. He or she must be aware of the clinical presentations of lymphoma so that the diagnosis is considered and tissue is appropriately handled. Fresh specimens should be submitted to the pathologist so that all testing can be accomplished to properly assign subtype and staging. The appropriate decision regarding biopsy versus resection must be made. Resection of major organs is generally unnecessary and major procedures may also entail morbidity that would delay initiation of chemotherapy. On the other hand, resection of localized tumors in some cases may reduce the amount of chemotherapy with its associated organ toxicity. The potential hazards of anesthesia should be recognized in certain situations and the possible use of less invasive diagnostic tools such as examination of pleural and ascitic fluids should be considered.

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Author information

Authors and Affiliations

  1. Riley Children’s Hospital, 702 Barnhill Drive, Suite 2500, Indianapolis, IN, 46202, USA

    Professor Deborah F. Billmire

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  1. Professor Deborah F. Billmire
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Editors and Affiliations

  1. University of Glasgow and Honorary Consultant Paediatric Surgeon at the Royal Hospital for Sick Children NHS Greater Glasgow and Clyde, Women & Children’s Directorate, Yorkhill Glasgow, G3 SSJ, Scotland UK

    Robert Carachi MD, PhD, FRCS (Professor of Surgical Paediatrics) (Professor of Surgical Paediatrics)

  2. Emeritus Department of Surgery, Indiana University School of Medicine, Indianapolis, IN, 46202, USA

    Jay L. Grosfeld MD, FACS, FAAP, FRCS (Lafayette Page Professor and Chairman) (Lafayette Page Professor and Chairman)

  3. Department of Surgical Paediatrics, Royal Hospital for Sick Children, Yorkhill Glasgow, G3 SSJ, Scotland UK

    Amir F. Azmy MB, ChB, DS, FRCS (Consultant Paediatric Surgeon) (Consultant Paediatric Surgeon)

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Billmire, D.F. (2008). Lymphoma. In: Carachi, R., Grosfeld, J.L., Azmy, A.F. (eds) The Surgery of Childhood Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29734-5_15

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  • DOI: https://doi.org/10.1007/978-3-540-29734-5_15

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-29733-8

  • Online ISBN: 978-3-540-29734-5

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