Holdrinet R S, Bogman M J, Wagener D J, de Pauw B E, Coebergh J W
Ned Tijdschr Geneeskd. 1989 Aug 5;133(31):1538-41.
With reference to the case histories of four patients with a possibly malignant lymph node whose diagnoses and therapies were seriously delayed, a critical discussion is presented of the recent recommendation on this problem issued by a team from the Central Peer Review Advisory Board. It appears that the observed loss of time can be attributed in part to insufficient insight into the role and technique of lymph-node puncture in patients with a presumably malignant cervical lymph node. We propose a changed diagnostic strategy in such patients, which takes into account the patient's age and the localization of the affected lymph node.
参考4例可能为恶性淋巴结患者的病史，其诊断和治疗严重延迟，本文对中央同行评审咨询委员会的一个团队就该问题近期发布的建议进行了批判性讨论。似乎观察到的时间损失部分可归因于对疑似恶性颈部淋巴结患者的淋巴结穿刺作用和技术缺乏足够了解。我们针对此类患者提出了一种改变后的诊断策略，该策略考虑了患者的年龄和受影响淋巴结的位置。
