Lee Dae-Neung, Yeom Sujung, Lee Dong Hoon, Lim Sang Chul
Department of Otolaryngology-Head and Neck Surgery, Chonnam National University Medical School & Chonnam National University Hwasun Hospital, Jeonnam, Korea.
Ear Nose Throat J. 2024 Oct 5:1455613241288487. doi: 10.1177/01455613241288487.
We analyzed the clinical characteristics and treatment results in surgical patients with a final diagnosis of Kimura disease. A total of 8 patients with a final diagnosis of Kimura disease of the head and neck region after surgery from January 2007 to December 2022 were enrolled. The most common symptom was a mass in the head and neck region (n = 7), followed by incidental detection (n = 1). Multiple head and neck lesions were observed except for 1 patient with Kimura disease in the buccal space. Kimura disease could not be diagnosed in 5 patients who underwent preoperative fine-needle aspiration cytology. All patients underwent surgical resection. No major complications after surgery occurred. Six patients received steroids after surgery, with 1 patient undergoing radiotherapy as a side effect of steroid treatment. During the follow-up period, 5 patients relapsed. Of the parameters assessed, only longer symptom duration was statistically significant with relapse of Kimura disease. Clinicians should suspect Kimura disease based on asymptomatic masses, peripheral blood eosinophilia, and imaging examinations and make a definitive diagnosis via surgery.
我们分析了最终诊断为木村病的外科手术患者的临床特征及治疗结果。纳入了2007年1月至2022年12月期间术后最终诊断为头颈部木村病的8例患者。最常见的症状是头颈部肿块(n = 7),其次是偶然发现(n = 1)。除1例颊间隙木村病患者外,均观察到头颈部多发病变。5例行术前细针穿刺细胞学检查的患者未能诊断出木村病。所有患者均接受了手术切除。术后未发生重大并发症。6例患者术后接受了类固醇治疗,其中1例患者因类固醇治疗的副作用接受了放疗。在随访期间,5例患者复发。在评估的参数中,只有症状持续时间较长与木村病复发在统计学上具有显著意义。临床医生应根据无症状肿块、外周血嗜酸性粒细胞增多和影像学检查怀疑木村病,并通过手术做出明确诊断。