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鼻眶筛区 Kimura 病及鼻眶筛区手术入路的综述

Kimura disease of naso-orbito-ethmoid region and review of surgical approaches to naso-orbito-ethmoid region.

机构信息

Otolaryngology & Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India.

Otolaryngology & Head Neck Surgery, All India Institute of Medical Sciences, New Delhi, Delhi, India

出版信息

BMJ Case Rep. 2023 Aug 4;16(8):e256355. doi: 10.1136/bcr-2023-256355.

DOI:10.1136/bcr-2023-256355
PMID:37541697
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10407370/
Abstract

SummaryA man in 30s had complaints of glabellar and upper nasal swelling for 8 years. It was insidious in onset and gradually progressive causing epiphora and restriction of nasal visual field. Fine-needle aspiration cytology and biopsy revealed features which were suggestive of Kimura's disease (KD). CT scans showed a well-defined subcutaneous swelling in the naso-orbito-ethmoid (NOE) region. KD presents as lymphoglandular swelling; however, NOE region is an uncommon site of occurrence. A thyroid-shaped tumour was excised by H-shaped incision approach to the NOE region.

摘要

摘要

一位 30 多岁的男性患者,有额部和上鼻肿胀的症状 8 年。该症状隐匿起病且逐渐加重,导致溢泪和鼻视野受限。细针抽吸细胞学和活检显示符合 Kimura 病(KD)的特征。CT 扫描显示在鼻眶额筛(NOE)区域有一个界限清楚的皮下肿胀。KD 表现为淋巴结肿胀;然而,NOE 区域是一个不常见的发病部位。通过 H 形切口对 NOE 区域进行手术,切除了一个呈甲状腺形状的肿瘤。

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本文引用的文献

1
Current concepts of Kimura disease: pathophysiology and evolution of treatment.木村病的当前概念:病理生理学与治疗进展
Arch Craniofac Surg. 2022 Dec;23(6):249-255. doi: 10.7181/acfs.2022.01053. Epub 2022 Dec 20.
2
Kimura Disease: A Case Series and Systematic Review of Clinico-radiological Features.木村病:临床-影像学特征的病例系列和系统评价。
Curr Probl Diagn Radiol. 2022 Jan-Feb;51(1):130-142. doi: 10.1067/j.cpradiol.2020.10.003. Epub 2020 Nov 17.
3
Kimura disease: a clinicopathologic study of 21 cases.木村病:21例临床病理研究
Am J Surg Pathol. 2004 Apr;28(4):505-13. doi: 10.1097/00000478-200404000-00010.
4
Kimura's disease. Diagnosis by aspiration cytology.木村病。细针穿刺细胞学诊断。
Acta Cytol. 2002 Mar-Apr;46(2):357-63. doi: 10.1159/000326734.