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资源有限环境下淋巴结病的评估

The Evaluation of Lymphadenopathy in a Resource-Limited Setting.

作者信息

Ali Mohammed, Elhatw Ahmed, Hegazy Mai, Albeyoumi Hossam, Sakr Noha, Deyab Ashrakat M, Soliman Ammar Yasser, Said Ebram, Samir Elbehwashy Ahmad, Nassar Mahmoud, Alfishawy Mostafa

机构信息

General Practice, Al-Azhar University, Cairo, EGY.

Radiology, Cairo University, Cairo, EGY.

出版信息

Cureus. 2022 Oct 24;14(10):e30623. doi: 10.7759/cureus.30623. eCollection 2022 Oct.

Abstract

Lymphadenopathy (LAP) refers to abnormalities in the size or consistency of lymph nodes. A wide range of etiologies contributes to the difficulty in diagnosing LAP, from mild self-limited viral infections to grave autoimmune diseases and malignancies. Detailed history-taking and a thorough physical examination are essential. Some physicians in developing countries may consider therapeutic testing. Certain groups may require additional evaluations and special treatment. When treating LAP, the etiology is targeted, but corticosteroids should not be administered before a complete diagnosis has been established due to their ability to mask the histological diagnosis of lymphoma and malignancy. This review aims to provide more straightforward and affordable methods available in almost all healthcare settings, especially those with limited resources.

摘要

淋巴结病(LAP)是指淋巴结大小或质地异常。从轻度自限性病毒感染到严重的自身免疫性疾病和恶性肿瘤,多种病因导致了LAP诊断的困难。详细的病史采集和全面的体格检查至关重要。发展中国家的一些医生可能会考虑进行治疗性试验。某些群体可能需要额外的评估和特殊治疗。在治疗LAP时,针对病因进行治疗,但由于皮质类固醇能够掩盖淋巴瘤和恶性肿瘤的组织学诊断,因此在未完全确诊之前不应使用。本综述旨在提供几乎在所有医疗环境中都可采用的更直接且经济实惠的方法,尤其是在资源有限的环境中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c39/9681672/92a2358b1112/cureus-0014-00000030623-i01.jpg

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