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Farruggia P, Puccio G, Sala A, Todesco A, Terenziani M, Mura R, D'Amico S, Casini T, Mosa C, Pillon M, Boaro MP, Bottigliero G, Burnelli R, Consarino C, Fedeli F, Mascarin M, Perruccio K, Schiavello E, Trizzino A, Ficola U, Garaventa A, Rossello M. Abdomen/pelvis computed tomography in staging of pediatric Hodgkin Lymphoma: is it always necessary? Cancer Med 2016; 5:2359-67. [PMID: 27485192 PMCID: PMC5055149 DOI: 10.1002/cam4.829] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2016] [Revised: 06/21/2016] [Accepted: 06/27/2016] [Indexed: 01/27/2023] Open
Abstract
The purpose of the study was to determine if abdomen/pelvis computed tomography (CT) can be safety omitted in the initial staging of a subgroup of children affected by Hodgkin Lymphoma (HL). Every participating center of A.I.E.O.P (Associazione Italiana di Ematologia ed Oncologia Pediatrica) sent local staging reports of 18F‐fluorodeoxyglucose positron emission tomography (PET) and abdominal ultrasound (US) along with digital images of staging abdomen/pelvis CT to the investigation center where the CT scans were evaluated by an experienced pediatric radiologist. The local radiologist who performed the US was unaware of local CT and PET reports (both carried out after US), and the reviewer radiologist examining the CT images was unaware of local US, PET and CT reports. A new abdominal staging of 123 patients performed on the basis of local US report, local PET report, and centralized CT report was then compared to a simpler staging based on local US and PET. No additional lesion was discovered by CT in patients with abdomen/pelvis negativity in both US and PET or isolated spleen positivity in US (or US and PET), and so it seems that in the initial staging, abdomen/pelvis CT can be safety omitted in about 1/2 to 2/3 of children diagnosed with HL.
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Affiliation(s)
- Piero Farruggia
- Pediatric Hematology and Oncology Unit, Oncology Department, A.R.N.A.S. Ospedali Civico, Di Cristina e Benfratelli, Palermo, Italy. ,
| | - Giuseppe Puccio
- Department of Sciences for Health Promotion and Mother and Child Care, University of Palermo, Palermo, Italy
| | - Alessandra Sala
- Clinica Pediatrica, Universita' Milano - Bicocca, A.O. San Gerardo, Fondazione Monza e Brianza per il bambino e la sua mamma (MBBM), Monza, Italy
| | - Alessandra Todesco
- Dipartimento di Oncoematologia Pediatrica, Università di Padova, Padova, Italy
| | - Monica Terenziani
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy
| | - Rosamaria Mura
- Pediatric Hematology-Oncology, Ospedale Pediatrico Microcitemico, Cagliari, Italy
| | | | - Tommaso Casini
- Dipartimento di Oncoematologia Pediatrica, A.O.U Meyer, Firenze, Italy
| | - Clara Mosa
- Pediatric Hematology and Oncology Unit, Oncology Department, A.R.N.A.S. Ospedali Civico, Di Cristina e Benfratelli, Palermo, Italy
| | - Marta Pillon
- Dipartimento di Oncoematologia Pediatrica, Università di Padova, Padova, Italy
| | - Maria Paola Boaro
- Dipartimento di Oncoematologia Pediatrica, Università di Padova, Padova, Italy
| | - Gaetano Bottigliero
- Dipartimento di Pediatria II Ateneo di Napoli, Servizio di Oncologia Pediatrica, Napoli, Italy
| | - Roberta Burnelli
- Oncoematologia Pediatrica, Azienda Ospedaliera Universitaria, Ospedale Sant'Anna, Ferrara, Italy
| | - Caterina Consarino
- Pediatric Hemato-oncology Unit, Dipartimento di Onco-Ematologia, Catanzaro Hospital, Catanzaro, Italy
| | - Fausto Fedeli
- Department of Pediatrics, Niguarda Ca' Granda Hospital, Milano, Italy
| | - Maurizio Mascarin
- S.S. Radioterapia Pediatrica e Area Giovani, IRCCS, Centro di Riferimento Oncologico Aviano, Pordenone, Italy
| | - Katia Perruccio
- Oncoematologia Pediatrica, Azienda Ospedaliera-Universitaria di Perugia, Perugia, Italy
| | - Elisabetta Schiavello
- Pediatric Oncology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy
| | - Angela Trizzino
- Pediatric Hematology and Oncology Unit, Oncology Department, A.R.N.A.S. Ospedali Civico, Di Cristina e Benfratelli, Palermo, Italy
| | - Umberto Ficola
- Dipartimento Oncologico La Maddalena, Medicina Nucleare, Palermo, Italy
| | - Alberto Garaventa
- Dipartimento di Ematologia e Oncologia Pediatrica Istituto G. Gaslini, Genova, Italy
| | - Mario Rossello
- Radiology Unit, Radiology Department, A.R.N.A.S. Ospedali Civico, Di Cristina e Benfratelli, Palermo, Italy
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