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木村病

Kimura disease.

作者信息

Karaman Emin, Isildak Huseyin, Ozdilek Alper, Sekercioglu Nihat

机构信息

From the Otolaryngology Head and Neck Surgery Department of Cerrahpasa Medical School, Istanbul University, Istanbul.

出版信息

J Craniofac Surg. 2008 Nov;19(6):1702-5. doi: 10.1097/SCS.0b013e31818ac2a5.

Abstract

Kimura disease (KD) is a chronic inflammatory disorder with unknown etiology, most commonly manifesting as painless unilateral cervical lymphadenopathy or subcutaneous masses in the head or neck region. Kimura disease is an unusual vascular tumor that typically occurs at 20 to 30 years of age, more commonly in women. There has been no documented case of malignant transformation; however, recurrence rates after excision may be as high as 25%. Surgery and medical therapy are useful for treatment. We present a 28-year-old man developed a unilateral cervical mass associated with KD. We made a complete excisional resection of the mass. We could not see any evidence of relapsing and decided that proper surgical resection of the lesion can be a treatment for KD. Because the disease can be seen with nephritic syndrome and has different treatment options, the otolaryngology specialist should consider KD in patients with neck mass and eosinophilia.

摘要

木村病(KD)是一种病因不明的慢性炎症性疾病,最常见的表现为无痛性单侧颈部淋巴结肿大或头颈部区域的皮下肿块。木村病是一种不常见的血管肿瘤,通常发生于20至30岁,女性更为多见。目前尚无恶变的病例记录;然而,切除术后的复发率可能高达25%。手术和药物治疗对其治疗有效。我们报告一名28岁男性患单侧颈部肿块伴木村病。我们对肿块进行了完整的切除。我们未发现任何复发迹象,并认为对病变进行适当的手术切除可作为木村病的一种治疗方法。由于该疾病可伴有肾病综合征且有不同的治疗选择,耳鼻喉科专科医生在颈部肿块和嗜酸性粒细胞增多的患者中应考虑木村病。

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