The role of surgery in the treatment of children with lymphomas (Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) is limited to diagnostic biopsies and treatment complications. There are no indications for performing major tumour resections or debulking procedures, since chemotherapy is so effective and major surgery delays may complicate chemotherapy. Only in children with ileocecal intussusceptions due to Burkitt 's lymphoma complete resection of the involved bowel segment is advised. Second-look surgery is also generally not recommended. Particularly, children with NHL may have rapidly growing tumors that can cause life-threatening complications requiring prompt intervention and treatment. Thus, a rapid diagnosis with the least invasive procedure should be done. In case of suspected lymphoma other options to establish the diagnosis before surgery should be considered like examination of blood and bone marrow and in case of pleural effu-sion/ascites puncture with cytologic and immunophe-notypic examination. If the diagnosis with these simple measures cannot be established the most peripheral suspected lesion should be biopsied, e.g. in case of mediastinal tumor the nearest extrathoracic lymph node. The optimal way is that the surgeon, the pediatric oncologist and the pathologist cooperate in planning the biopsy, so that the biopsy material can be taken over by the pathologist already in the operation room for further appropriate processing.
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Keywords
- Hodgkin Lymphoma
- Anaplastic Large Cell Lymphoma
- Mediastinal Tumor
- Superior Vena Cava Syndrome
- Hodgkin Lymphoma Patient
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Further Reading
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Urban, C. (2009). Lymphomas. In: Puri, P., Höllwarth, M. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69560-8_76
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