Larson D L, Robbins K T, Butler J J
Am J Surg. 1984 Oct;148(4):433-7. doi: 10.1016/0002-9610(84)90364-7.
The surgeon should remember that lymphoma may involve any tissue in the head and neck region. By maintaining a high level of suspicion when evaluating a tumor that appears to be more aggressive than expected (that is, multiple primary sites), the head and neck surgeon will expedite treatment of the patient with lymphoma. Aids in early diagnoses center around providing sufficient tissue to the pathologist by avoiding needle biopsy and piecemeal removal of the regional lymph nodes or obtaining undistorted representative tissue from extranodal sites. We stress the need for a continuing dialogue between the head and neck surgeon and the pathologist regarding early identification of the potential lymphoma patient, thereby preventing a diagnostic dilemma.
外科医生应牢记，淋巴瘤可能累及头颈部区域的任何组织。在评估一个比预期更具侵袭性（即多个原发部位）的肿瘤时，保持高度的怀疑，头颈部外科医生将加快对淋巴瘤患者的治疗。早期诊断的辅助措施包括避免针吸活检和对区域淋巴结进行零碎切除，或从结外部位获取未变形的代表性组织，从而为病理学家提供足够的组织。我们强调头颈部外科医生与病理学家之间就潜在淋巴瘤患者的早期识别进行持续对话的必要性，从而避免诊断困境。
