Viswanathan S, Campbell C E, Cork R C
Department of Anesthesiology, Louisiana State University, New Orleans 70112, USA.
J Clin Anesth. 1995 Mar;7(2):151-5. doi: 10.1016/0952-8180(94)00028-3.
T-cell lymphoma is the fastest growing non-Hodgkin's lymphoma occurring in children. Its clinical presentation is frequently abrupt, and total tumor mass can double every few days. At the same time, the number of ambulatory anesthesia procedures for children is increasing at a rapid rate. Anesthesiologists are constantly faced with decisions regarding the adequacy of available preoperative information. What information do we need, and how recent should it be? This case shows that recent diagnostic imaging studies not showing the presence of a mediastinal lymphoma can be misleading. It provides a strong warning to all anesthesiogists involved in ambulatory anesthesia.
T细胞淋巴瘤是儿童中增长最快的非霍奇金淋巴瘤。其临床表现通常很突然，肿瘤总体积每隔几天就可能翻倍。与此同时，儿童门诊麻醉手术的数量正在迅速增加。麻醉医生经常面临关于术前可用信息是否充分的决策。我们需要哪些信息，以及这些信息应该有多新？这个病例表明，近期诊断性影像学检查未显示纵隔淋巴瘤的存在可能会产生误导。它给所有参与门诊麻醉的麻醉医生敲响了警钟。
