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鼻咽部 Burkitt 淋巴瘤导致危及生命的气道阻塞:一例报告。

Burkitt lymphoma of the nasopharynx causing life-threatening airway obstruction: A case report.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, NY, New York, USA; Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, NY, New York, USA.

Department of Otolaryngology-Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, NY, New York, USA; Department of Otolaryngology-Head and Neck Surgery, New York Eye and Ear Infirmary of Mount Sinai, NY, New York, USA.

出版信息

Am J Otolaryngol. 2021 Jul-Aug;42(4):102977. doi: 10.1016/j.amjoto.2021.102977. Epub 2021 Feb 16.

Abstract

OBJECTIVE

To describe a case of Burkitt lymphoma (BL) in a child manifesting with acute airway obstruction. To review available literature on the clinical features and characteristic presentation of this disease.

METHODS

Case report with literature review.

RESULTS

We present the case of an 8-year-old boy with nasopharyngeal BL manifesting initially as sore throat, nasal congestion, and snoring that progressed to dyspnea and, ultimately, acute airway obstruction requiring emergent tracheostomy. The child was treated with intensive chemotherapy and achieved complete response.

CONCLUSION

This case highlights the importance of maintaining high clinical suspicion when evaluating common otolaryngologic symptoms and emphasizes the potential for Burkitt lymphoma to cause rapid patient deterioration.

摘要

目的

描述一例以急性气道阻塞为表现的儿童伯基特淋巴瘤(BL)病例。回顾该疾病的临床特征和典型表现的现有文献。

方法

病例报告并文献复习。

结果

我们报告了一例 8 岁男孩,患有鼻咽 BL,最初表现为咽痛、鼻塞和打鼾,随后进展为呼吸困难,并最终导致急性气道阻塞,需要紧急气管切开术。患儿接受了强化化疗,达到完全缓解。

结论

本病例强调了在评估常见耳鼻喉症状时保持高度临床警惕的重要性,并强调了伯基特淋巴瘤导致患者迅速恶化的可能性。

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