影响头颈部器官的淋巴增生性疾病

F. Kamolova, P. A. Zeynalova, R. I. Azizyan, A. Akhundov, I. Zaderenko, M. Bolotin, D. Stelmakh, V. I. Sokorutov, K. D. Ilkaev, V. Tsiklauri, Y. Alymov, I. Gelfand, M. Pak, A. V. Ignatova, A. Batsev, F. М. Abbasbeyli, A. E. Raportinova
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摘要

介绍。淋巴瘤是淋巴和造血系统的一组异质性肿瘤,在许多情况下,肿瘤进程发生在头颈部,包括皮肤和粘膜、眼眶、鼻腔和鼻窦、口腔、口咽部、唾液腺、甲状腺和颈部淋巴结。头颈部淋巴瘤的鉴别诊断是复杂的,因为它可以伴随其他非肿瘤病理。头颈部淋巴瘤的高度异质性要求对其流行病学和临床表现的知识进行结构化。该研究的目的是优化早期诊断,因为它可以显著提高当地医生、肿瘤学家、诊断专家的癌症警觉性,从而降低广泛性疾病过程中的验证频率。研究头颈部淋巴细胞增生性疾病的临床特征可提高鉴别诊断的质量。材料和方法。对影响头颈部的淋巴增生性疾病进行了研究。研究材料包括1999年至2020年期间在N.N. Blokhin国家肿瘤医学研究中心住院的174名患者的数据。本文根据目前淋巴增生性疾病的临床和形态学分类,介绍了病变的位置、结外病变的特征性征象和颈部淋巴结受累情况,以及头颈部淋巴瘤的诊断方法。获得的数据有助于解决影响头颈部的淋巴增生性疾病的诊断问题,并为成功、可预测的淋巴瘤治疗奠定基础。
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Lymphoproliferative disorders affecting organs of the head and neck
Introduction. Lymphomas are a heterogenic group of tumors of the lymphatic and hematopoietic systems, and in many cases tumor process develops in the area of the head and neck including skin and mucosa, orbit, nasal cavity and paranasal sinuses, oral cavity, oropharynx, salivary glands, thyroid, and cervical lymph nodes. Differential diagnosis of lymphomas of the head and neck is complicated because it can be accompanied by another non-tumor pathology. High heterogeneity of lymphomas of the head and neck requires structurization of knowledge on their epidemiological and clinical manifestations.The study objective is to optimize early diagnosis as it allows to significantly increase cancer alertness in local practitioners, oncologists, diagnosis specialists and, in turn, to decrease verification frequency in generalized disease processes. Study of clinical characteristics of lymphoproliferative disorders of the head and neck leads to increased quality of differential diagnosis.Materials and methods. A study of lymphoproliferative disorders affecting head and neck was performed. Study material consisted of data on 174 patients hospitalized at the N.N. Blokhin National medical Research Center of Oncology between 1999 and 2020.Results. Based on the current clinical and morphological classification of lymphoproliferative disorders, data on location of lesions, characteristic signs of extranodal lesions and cervical lymph nodes involvement, as well as methods of diagnosis of lymphomas of the head and neck, are presented.Conclusion. The obtained data helps solve problems of diagnosis of lymphoproliferative disorders affecting the head and neck and serve as a basis for successful, predictable treatment of lymphomas.
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