关键词: Child Dysphonia Larynx Lymphoma Snoring

来  源:   DOI:10.22038/IJORL.2022.57663.2984   PDF(Pubmed)

Abstract:
UNASSIGNED: Head and neck is the second most common region for lymphomas. Extranodal lymphomas of the larynx are rare in the pediatric population. Non Hodgkin Lymphoma (NHL) of the larynx is common in the supraglottic region as its rich in lymphoid tissue. They may present with dysphagia, dysphonia, snoring and progressive respiratory distress. Early visualization of the larynx is essential in such cases for appropriate diagnosis to improve the survival rates.
UNASSIGNED: We present a case of 9 year old boy who presented with a change in voice, snoring and feeding difficulties for one year. Video laryngoscopy revealed globular mass arising from the epiglottis. He underwent excision biopsy and by immunohistochemistry was diagnosed to have diffuse large B cell lymphoma. He was treated with chemotherapy and the child is clinically well in the follow-up, 1 year after the completion of therapy.
UNASSIGNED: Although primary lymphomas of the larynx in children are rare, a high index of clinical suspicion is warranted to avoid diagnostic delays to initiate appropriate management to have better outcomes.
摘要:
未经证实:头颈部是淋巴瘤的第二常见区域。喉结外淋巴瘤在儿科人群中很少见。喉非霍奇金淋巴瘤(NHL)常见于声门上区,因为它富含淋巴组织。他们可能会出现吞咽困难,发音困难,打鼾和进行性呼吸窘迫。在这种情况下,喉部的早期可视化对于适当诊断以提高生存率至关重要。
未经授权:我们介绍了一个9岁男孩的声音发生变化的案例,打鼾和喂养困难一年。视频喉镜检查显示会厌引起球状肿块。他接受了切除活检,通过免疫组织化学被诊断为弥漫性大B细胞淋巴瘤。他接受了化疗治疗,孩子的临床随访情况良好,治疗结束后1年。
未经证实:尽管儿童喉部原发性淋巴瘤很少见,高临床怀疑指数是必要的,以避免诊断延误,从而开始适当的治疗以获得更好的结果.
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