Eh Dam V Sha Kri, Mohamad Sakinah, Mohamad Irfan
Universiti Sains Malaysia Health Campus, School of Medical Sciences, Department of Otorhinolaryngology-Head and Neck Surgery, Kelantan, Malaysia.
Medeni Med J. 2020;35(2):170-174. doi: 10.5222/MMJ.2020.84594. Epub 2020 Jun 30.
Kimura disease (KD) is a rare chronic benign inflammatory disorder of unknown etiology that is prevalent in Asian males. The head and neck region, especially the parotid glands and cervical lymph nodes, are most commonly affected. Diagnosis is based on clinicopathological features, while radiology findings are nonspecific. Although various treatment strategies have been proposed, there is a high recurrence rate. Combination therapy has been found to produce better results than monotherapy. We present a case of KD with huge parotid and cervical lymph node involvement that was treated with a combination of surgery and corticosteroids administered perioperatively.
木村病(KD)是一种病因不明的罕见慢性良性炎症性疾病,在亚洲男性中较为常见。头颈部区域,尤其是腮腺和颈部淋巴结,是最常受累的部位。诊断基于临床病理特征,而影像学表现不具有特异性。尽管已经提出了各种治疗策略,但复发率很高。联合治疗已被发现比单一疗法效果更好。我们报告一例累及巨大腮腺和颈部淋巴结的木村病病例,该病例采用手术和围手术期给予皮质类固醇激素的联合治疗。