Enrique A, Quesada J L, Lorente J, López D
Servicio de ORL, Hospital Vall D'Hebron, Barcelona.
Acta Otorrinolaringol Esp. 2004 Oct;55(8):387-9. doi: 10.1016/s0001-6519(04)78540-4.
Lymphomas of the head and neck arise in lymph nodes and extranodal areas as Waldeyer ring, nasal cavity, thyroid gland and salivary glands. Though anatomically in close proximity, lymphomas presenting at the ENT area have different clinical characteristics if they are Hodgkin or Non-Hodgkin. We included 31 patients with the diagnosis of lymphoma and diagnosed in our Department between 1999 and 2002. We studied all the different variables that differentiate Hodgkin and Non-Hodgkin's lymphoma. Both types of lymphoma usually present as a cervical mass. Non-Hodgkin lymphoma have extranodal involvement more frequently and also a more advance disease at diagnosis. It is important to include the lymphoma in the differential diagnosis of any cervical mass or ENT lesion.
头颈部淋巴瘤起源于淋巴结以及结外区域,如瓦尔代尔环、鼻腔、甲状腺和唾液腺。尽管在解剖位置上相邻,但在耳鼻喉科区域出现的淋巴瘤,若为霍奇金淋巴瘤或非霍奇金淋巴瘤,则具有不同的临床特征。我们纳入了1999年至2002年间在我们科室诊断为淋巴瘤的31例患者。我们研究了所有区分霍奇金淋巴瘤和非霍奇金淋巴瘤的不同变量。这两种类型的淋巴瘤通常表现为颈部肿块。非霍奇金淋巴瘤结外受累更为频繁,且在诊断时病情也更为 advanced 。在任何颈部肿块或耳鼻喉科病变的鉴别诊断中纳入淋巴瘤很重要。 (注:原文中“more advance”表述有误,可能是“more advanced”,译文按推测修改为“更为晚期”)