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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.

DOI:10.1186/s12893-020-00870-0
PMID:32957960
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7507290/
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/a6e95693205a/12893_2020_870_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/a6ff0ace9888/12893_2020_870_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/1f47a173d0e6/12893_2020_870_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/a6e95693205a/12893_2020_870_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/a6ff0ace9888/12893_2020_870_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/1f47a173d0e6/12893_2020_870_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a34e/7507290/a6e95693205a/12893_2020_870_Fig3_HTML.jpg

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引用本文的文献

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Dupilumab combined with corticosteroid therapy for Kimura disease with multiple systemic masses: a case report and literature review.度普利尤单抗联合皮质类固醇治疗多发性全身肿块型木村病:病例报告及文献复习。
Front Immunol. 2024 Oct 24;15:1492547. doi: 10.3389/fimmu.2024.1492547. eCollection 2024.
2
Kimura disease in children: A report of 11 cases and review of the literature.儿童木村病:11例报告及文献复习
Front Pediatr. 2023 Feb 17;11:1131963. doi: 10.3389/fped.2023.1131963. eCollection 2023.

本文引用的文献

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Diagnostic dilemma of kimura disease of eyelids.眼睑 Kimura 病的诊断难题。
Med J Malaysia. 2020 Jan;75(1):83-85.
2
Clinical analysis of Kimura's disease in 24 cases from China.24例中国木村病的临床分析
BMC Surg. 2020 Jan 2;20(1):1. doi: 10.1186/s12893-019-0673-7.
3
Kimura's disease involving bilateral lacrimal glands and extraocular muscles along with ipsilateral face: A unique case report.金伯氏病累及双侧泪腺和眼外肌伴同侧面部:一例独特病例报告。
Indian J Ophthalmol. 2019 Dec;67(12):2107-2109. doi: 10.4103/ijo.IJO_810_19.
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The clinicopathological characteristics of Kimura disease in Chinese patients.中国患者木村病的临床病理特征。
Clin Rheumatol. 2019 Dec;38(12):3661-3667. doi: 10.1007/s10067-019-04752-6. Epub 2019 Aug 22.
5
Misdiagnosed recurrent multiple Kimura's disease: A case report and review of the literature.误诊的复发性多发性木村病:一例报告并文献复习
Mol Clin Oncol. 2019 Mar;10(3):352-356. doi: 10.3892/mco.2018.1793. Epub 2018 Dec 18.
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Kimura disease: a case report of a rare illness presenting as a common complaint.
Diagnosis (Berl). 2019 Nov 26;6(4):393-396. doi: 10.1515/dx-2018-0096.
7
Orbital Mass With Features of Both Kimura Disease and Immunoglobulin G4-Related Disease.具有木村病和免疫球蛋白G4相关性疾病特征的眼眶肿物
Ophthalmic Plast Reconstr Surg. 2018 Jul/Aug;34(4):e121-e123. doi: 10.1097/IOP.0000000000001135.
8
Nephrotic syndrome during the tapering of oral steroids after pathological diagnosis of Kimura disease from a lacrimal gland mass: case report and review of 10 Japanese patients.泪腺肿块经病理诊断为木村病后口服类固醇减量过程中出现肾病综合征:病例报告及10例日本患者的文献复习
J Clin Exp Hematop. 2017;57(3):147-152. doi: 10.3960/jslrt.17028.
9
A Rare Case of Kimura Disease with Bilateral Parotid Involvement.双侧腮腺受累的木村病罕见病例。
Arch Plast Surg. 2017 Sep;44(5):439-443. doi: 10.5999/aps.2017.44.5.439. Epub 2017 Sep 15.
10
Concurrent Kimura disease and lupus nephritis: A case report.木村病与狼疮性肾炎并存:一例报告
Medicine (Baltimore). 2016 Oct;95(41):e5086. doi: 10.1097/MD.0000000000005086.