Spini Roxana, Cruz Daniel, Fernández Lucía, Juchli Mariana
División de Otorrinolaringología, Hospital General de Niños Pedro de Elizalde, Ciudad Autónoma de Buenos Aires, Argentina.
Jefa de residentes de Otorrinolaringología Infantil, Hospital General de Niños Pedro de Elizalde, Ciudad Autónoma de Buenos Aires, Argentina.
Arch Argent Pediatr. 2021 Aug;119(4):e330-e334. doi: 10.5546/aap.2021.e330.
Lymphoma is the most common childhood malignancy in the head and neck. The most common clinical manifestations of lymphoma in palatine tonsil are the tonsils asymmetry, alteration in the appearance of the mucous and cervical lymphadenopathy. The unilateral tonsillar hypertrophy must be differentiated with infectious processes, with chronic processes, other tumors or benign tonsillar hyperplasia. The monitoring of tonsillar hypertrophy is strict, because early diagnosis and treatment are of great importance in the prognosis of tonsillar lymphoma patients. A 14 year-old girl presents unilateral tonsillar enlargement and odynophagia. After 21 days of antibiotic treatment, she has not clinical improvement. The diagnosis is Burkitt's lymphoma. One year after diagnosis, she presents complete remission of the disease.
淋巴瘤是儿童头颈部最常见的恶性肿瘤。腭扁桃体淋巴瘤最常见的临床表现是扁桃体不对称、黏膜外观改变和颈部淋巴结病。单侧扁桃体肥大必须与感染性疾病、慢性疾病、其他肿瘤或良性扁桃体增生相鉴别。对扁桃体肥大的监测很严格,因为早期诊断和治疗对扁桃体淋巴瘤患者的预后至关重要。一名14岁女孩出现单侧扁桃体肿大和吞咽疼痛。经过21天的抗生素治疗,她没有临床改善。诊断为伯基特淋巴瘤。诊断一年后,她的疾病完全缓解。