MacNaughton D M, Tewfik T L, Bernstein M L
Department of Otolaryngology, Montreal Children's Hospital, Quebec, Canada.
J Otolaryngol. 1990 Aug;19(4):282-4.
Nasal obstruction due to adenoid hypertrophy is extremely common in the pediatric age group and is generally successfully treated by adenoidectomy. The case report of the incidental finding of Hodgkin's disease in an adenoidectomy specimen will be presented. Overall, for all age groups and stages of disease, fewer than 75 cases of Hodgkin's disease with nasopharyngeal involvement have been reported in the world literature. Further, fewer than 15 cases had isolated primary involvement. Although unusual, the occurrence of primary adenoidal Hodgkin's disease in our patient supports the submission of adenoidal tissue for micropathological examination when a relatively large amount of tissue is found at the time of surgery.
腺样体肥大导致的鼻阻塞在儿童年龄组中极为常见，通常通过腺样体切除术可成功治疗。本文将呈现一例在腺样体切除标本中偶然发现霍奇金淋巴瘤的病例报告。总体而言，对于所有年龄组和疾病阶段，世界文献报道的鼻咽部受累的霍奇金淋巴瘤病例少于75例。此外，孤立性原发性受累的病例少于15例。虽然罕见，但我们患者中原发性腺样体霍奇金淋巴瘤的发生支持在手术时发现相对大量组织时将腺样体组织送检进行微观病理学检查。
