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木村病酷似胸椎哑铃形神经源性肿瘤:一例报告及文献复习

Kimura's disease mimicking thoracic spine dumbbell neurogenic tumor: a case report and literature review.

作者信息

Bi Siwei, Gu Jun, Hu Chenggong

机构信息

West China School of Medicine, Sichuan University, Chengdu, China.

Department of Cardiovascular Surgery, West China Hospital of Sichuan University, Leshan, China.

出版信息

BMC Surg. 2020 Sep 21;20(1):209. doi: 10.1186/s12893-020-00870-0.

Abstract

BACKGROUND

Kimura's disease is a rare, benign chronic inflammatory disease of unknown etiology that mostly affects Asians. The disease typically presents as subcutaneous masses in the head or neck region that are predominantly found in the preauricular and submandibular areas.

CASE PRESENTATION

A 7-year-old boy presenting with paralysis of both lower extremities and a thoracic spine dumbbell mass was initially diagnosed with a neurogenic tumor, but the pathological and laboratory examinations confirmed the diagnosis of Kimura's disease. The paralysis symptom disappeared rapidly, but the patient had developed a recurrent mass in the cervical vertebral canal at the 9-month follow-up.

CONCLUSION

To our knowledge, no prior published literature has revealed Kimura's disease cases that mimic dumbbell neurogenic tumors. Here, we report such a case of Kimura's disease for the first time and provide a brief review of the literature.

摘要

背景

木村病是一种病因不明的罕见良性慢性炎症性疾病,主要影响亚洲人。该病通常表现为头颈部的皮下肿块,主要见于耳前和下颌下区域。

病例介绍

一名7岁男孩出现双下肢瘫痪及胸椎哑铃状肿块,最初被诊断为神经源性肿瘤,但病理和实验室检查确诊为木村病。瘫痪症状迅速消失,但在9个月的随访中,患者在颈椎管内出现了复发性肿块。

结论

据我们所知,此前发表的文献中尚未有模仿哑铃状神经源性肿瘤的木村病病例报道。在此,我们首次报告这样一例木村病病例,并对文献进行简要综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/a6ff0ace9888/12893_2020_870_Fig1_HTML.jpg

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