ROENTGENOGRAPHIC CHANGES IN CHILDHOOD HODGKIN’S DISEASE

1. Forty-five children with Hodgkin’s disease, between 4 to 15 years of age, were seen at Memorial Hospital since 1960. Thirty children were boys and 15 were girls.

2. A review of the roentgenograms showed that there were many similarities between juvenile and adult Hodgkin’s disease.

3. Pulmonary Hodgkin’s disease was recognized roentgenographically in 25 per cent of the children. Six had involvement at the onset, and 5 developed pulmonary lesions 1 to 5 years later. Three types of pulmonary involvement were seen: nodular, alveolar (pneumonic), and bronchovascular (lymphangitic).

4. Lymphangiography was less helpful in detecting para-aortic lymph node disease in this small series of children than in adults. In only 1 child was the lymphangiogram positive in an unsuspected clinical setting.

5. Skeletal involvement was recognized roentgenographically in 25 per cent of the patients. Two had osseous lesions when they were first diagnosed and 9 developed roentgenographic changes in the bones 6 months to 4 years later.

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