Dailey S H, Sataloff R T
Department of Otolaryngology, Albert Einstein College of Medicine, Bronx, N.Y., USA.
Ear Nose Throat J. 2001 Mar;80(3):164-70.
Because lymphoma frequently manifests as a neck mass, otolaryngologists are often the first to evaluate and diagnose it. Excisional biopsy of lymph nodes generally provides the definitive diagnosis. After diagnosis, however, the otolaryngologist's involvement generally wanes as subsequent treatment of the patient is provided by an oncology team. Nevertheless, it is important for the otolaryngologist to be familiar with current concepts in the comprehensive evaluation and treatment of lymphoma patients. This knowledge allows us to participate in and facilitate timely testing, which helps avoid undue delays between the documentation of physical findings and the initiation of treatment. Otolaryngologists also need to be up to date on recent developments in the treatment of lymphomas in order to be able to answer questions regarding staging and prognosis, to make the proper referrals, and to help our patients understand current controversies and treatment practices.
由于淋巴瘤常表现为颈部肿块，耳鼻喉科医生通常是最早对其进行评估和诊断的。淋巴结切除活检一般可提供明确诊断。然而，在诊断之后，随着患者后续由肿瘤学团队进行治疗，耳鼻喉科医生的参与度通常会降低。尽管如此，耳鼻喉科医生熟悉淋巴瘤患者综合评估和治疗的当前概念很重要。这些知识能让我们参与并促进及时检测，有助于避免在记录体格检查结果和开始治疗之间出现不必要的延误。耳鼻喉科医生还需要了解淋巴瘤治疗的最新进展，以便能够回答有关分期和预后的问题，进行适当的转诊，并帮助我们的患者了解当前的争议和治疗方法。
