Zhao He, Cao Zhi-Wei, Gu Zhao-Wei
Department of Otolaryngology Head and Neck Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Front Surg. 2021 May 21;8:672291. doi: 10.3389/fsurg.2021.672291. eCollection 2021.
Kimura's disease is a rheumatic immune disease and head and neck lymph nodes are often involved. A mass occurring in the nasal forehead is rare. Good prognosis after surgical resection by glucocorticoid therapy is more rare. We report the rare case of a nasal forehead mass in a 45-year-old male patient with Kimura's disease. The patient underwent resection of the mass in October 2018 in a local hospital and the postoperative pathology was unclear. He then underwent a second resection in our department in December 2019 mainly because growth of the mass was affecting his appearance. Postoperative pathology confirmed that the patient had Kimura's disease, and he accepted systemic treatment with prednisone. We followed the patient for 10 months after surgery. He is now recovering well and continues to be closely monitored during follow-up. It is rare that the painless mass in the nasal forehead is diagnosed as a Kimura's disease.After completely resection of the mass and systemic treatment with prednisone, the patient had a good outcome. We provide experience for the treatment of Kimura's disease in nasal forehead.
木村病是一种风湿免疫性疾病，常累及头颈部淋巴结。发生于鼻额部的肿块较为罕见。经糖皮质激素治疗后手术切除预后良好的情况更为罕见。我们报告一例45岁男性木村病患者鼻额部肿块的罕见病例。该患者于2018年10月在当地医院接受了肿块切除术，术后病理结果不明确。2019年12月，他因肿块生长影响外观，在我科接受了二次切除手术。术后病理证实患者患有木村病，随后他接受了泼尼松全身治疗。术后我们对患者进行了10个月的随访。他目前恢复良好，随访期间仍在持续密切监测。鼻额部无痛性肿块被诊断为木村病的情况较为罕见。在肿块完全切除并接受泼尼松全身治疗后，患者预后良好。我们为鼻额部木村病的治疗提供了经验。
