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- W1995637589 abstract "We have read the comments of Drs Stein and Flexner. The main point of our report concerned a sclerotic bone lesion in Hodgkin's disease that reverted to normal after treatment. We do not consider that this lesion was due to hematogenic spread because (<i>a</i>) it was a sclerotic lesion of the ivory vertebra type, which is believed to be caused by extrinsic pressure from involved lymph nodes,<sup>1,2</sup>(<i>b</i>) only one bone was involved, and (<i>c</i>) the patient relapsed only in the abdominal nodes and not in the chest or in the periphery. Also, he has remained well with chemotherapy to the present date. In our opinion the normal lymphangiography and normal laparotomy do not exclude the possibility of nodal disease as high up as the 11th dorsal vertebra with contiguous invasion of the bone. Our general guideline for treatment of Hodgkin's extranodal disease includes adjuvant combined" @default.
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- W1995637589 date "1978-06-16" @default.
- W1995637589 modified "2023-09-25" @default.
- W1995637589 title "Ivory Vertebra in Hodgkin's Disease-Reply" @default.
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- W1995637589 doi "https://doi.org/10.1001/jama.1978.03280510034009" @default.
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