Final answer:
When to consult surgery for lymph node biopsy depends on the specific circumstances and severity of EBV and LAD. In cases of infectious mononucleosis, surgery may not be necessary unless there are atypical features. However, for Burkitt lymphoma, a biopsy is necessary to diagnose the condition.
Step-by-step explanation:
When to consult surgery for lymph node biopsy (LN bx) in cases of EBV (Epstein-Barr virus) and LAD (lymphadenopathy) depends on the specific circumstances and the severity of the condition. A biopsy is usually ordered when the lymph node remains enlarged despite treatment or when there are concerns about the possibility of lymphoma.
In the case of infectious mononucleosis (mono), antiviral treatments are rare and the disease is self-limiting. Therefore, surgery for lymph node biopsy may not be necessary unless there are atypical features or any suspicious findings that warrant further investigation.
On the other hand, in cases of Burkitt lymphoma, a highly aggressive form of cancer associated with EBV, a biopsy is typically performed to diagnose the condition. The staging process involves CT scans and the evaluation of biopsy specimens, and treatment should be initiated promptly due to the rapid growth of the tumors.