摘要
淋巴瘤在頭頸部的腫瘤中雖非不常見，但其病徵經常只是不明原因的腫脹，所以常會造成診斷上的困擾。淋巴瘤在頭頸部區域常發生於瓦爾代厄環(Waldeyer's ring)及副鼻竇(paranasal sinus)。因此若在此區域發生不明腫脹而口腔內無其他病徵時，淋巴瘤為可能的診斷之一。淋巴瘤在細胞組織學上分為霍奇金氏疾病(Hodgkin's disease)及非霍奇金氏淋巴瘤(Non-Hodgkin's lymphoma)，根據細胞來源，又可分為B細胞淋巴瘤及T細胞淋巴瘤。頸部淋巴瘤的診斷，雖然可以針吸式活體組織檢查(needle aspiration)來做診斷，但由於無法做出正確的分期，治療計劃亦難以擬定，所以活體切片(biopsy)為較好的診斷方法。淋巴瘤的治療方式，以化學治療為主，輔以放射線治療。
並列摘要
It is not uncommon for a lymphoma to occur as a head and neck tumor, but the clinical presentation is usually only as an asymptomatic nodule or mass. So it is difficult to make a diagnosis in theses cases. Lymphomas of the head and neck usually occur in Waldeyer's ring and the paranasal sinus. When a mass or swelling of unknown origin without other signs in the head and neck is found, a lymphoma is 1 possible diagnosis. Lymphomas are divided into Hodgkin's disease and non-Hodgkin's lymphoma. According to cell origin, lymphomas can be divided into B-cell and T-cell lymphomas. Diagnosis of a neck lymphoma is possible by needle biopsy, but because the amount of the specimen is too small, staging of the lymphoma cannot be accomplished. A biopsy is a better diagnostic method than needle biopsy. The treatment for a lymphoma is chemotherapy combined with adjunct radiotherapy.
延伸閱讀
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