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儿童桃体不对称是否应该成为桃体切除术的指标? 一个单一的体验中心
Georgia Mackay1, Alina Rankin1, Sheneen Meghji2
1Department of Otolaryngology, Auckland City Hospital, Te Whatu Ora Te Toka Tumai Auckland, New Zealand.
The New Zealand medical journal
|April 11, 2024
概括
临床桃体不对称是儿童桃体淋巴瘤 (TL) 病例中真正尺寸差异的不可靠指标. 疼痛和桃体异常的外观是淋巴瘤诊断的关键指标.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科瘤学 儿科瘤学
- 手术病理学手术病理学
背景情况:
- 儿科桃体淋巴瘤 (TL) 是罕见的,临床不对称性往往引起怀疑.
- 桃体不对称可能反映出沟深度而不是真正的体积差异,导致诊断不确定性.
- 关于桃体切除术对于不对称性和确定可靠的淋巴瘤指标的必要性存在争议.
研究的目的:
- 要确定临床桃体不对称是否可靠地表明真正的桃体积差异.
- 评估与儿科桃体淋巴瘤相关的临床和检查特征.
主要方法:
- 对怀疑淋巴瘤的儿科桃体样本 (2012-2023) 的回顾性审查.
- 临床不对称性 (布罗德斯基标准) 与病理学报告的桃体积的比较.
- 对患者人口统计和临床数据的分析.
主要成果:
- 在143例儿科桃体切除术中,有3例为淋巴瘤呈阳性.
- 疼痛和异常的桃体外观显著预测淋巴瘤 (p<0.02).
- 临床尺寸差异显示真体积差异的可靠性很差 (卡帕 = -0.13,p<0.05).
结论:
- 对桃体大小不对称的临床评估对实际体积差异的预测很差.
- 为了更好的临床决策,将异常的视觉检查和淋巴腺病的触摸与尺寸评估相结合.
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