Abraham A, Shvero J, Avidor I
Harefuah. 1989 Jul;117(1-2):13-4.
Primary localized laryngeal lymphoma is rare. The presenting symptoms are hoarseness of long duration and increasing dyspnea. Clinical and histological diagnosis is difficult and in some cases repeated biopsies are needed for conclusive diagnosis. Radiotherapy appears to be the treatment of choice for the disease. As in addition there may be head, neck or distant localizations, there should be a complete clinical evaluation before treatment, including lymphangiography, IV pyelography, liver and spleen scans, and total body CT scan. Although in a significant number of cases laryngeal lymphoma has been cured or has remained a localized disease, it is very likely that in some cases additional treatment for the tumor at other sites may be required. Lifelong follow-up and careful periodic evaluation by experts is imperative.
原发性局限性喉淋巴瘤较为罕见。主要症状为长期声音嘶哑和进行性呼吸困难。临床和组织学诊断困难,在某些情况下需要反复活检才能确诊。放射治疗似乎是该病的首选治疗方法。由于可能还存在头颈部或远处的病变,治疗前应进行全面的临床评估,包括淋巴管造影、静脉肾盂造影、肝脏和脾脏扫描以及全身CT扫描。尽管在相当多的病例中喉淋巴瘤已治愈或仍为局限性疾病,但在某些情况下很可能需要对其他部位的肿瘤进行额外治疗。必须进行终身随访并由专家进行仔细的定期评估。