Kodama T, Kawamoto K
Department of Ophthalmology, Shimane Medical University, Izumo, Japan.
Acta Ophthalmol Scand. 1998 Jun;76(3):374-7. doi: 10.1034/j.1600-0420.1998.760327.x.
A 33-year-old Japanese woman had bilateral eyelid swelling and soft tumor of the right orbit. Increased serum IgE and eosinophilia in the peripheral blood was observed. Magnetic resonance imaging of the lesion showed hypointense orbital fat on T1-weighted image and isointense orbital fat on T2-weighted image. Gd-DTPA T1-weighted images demonstrated marked enhancement. The histopathological appearance of the tumor was consistent with Kimura's disease. On a regimen of 60 mg of prednisone per day, the orbital mass reduced in size. A review of the recent literature indicated that corticosteroids rather than surgery might be tried at least initially as treatment.
一名33岁的日本女性出现双侧眼睑肿胀及右侧眼眶软性肿物。外周血中血清IgE升高及嗜酸性粒细胞增多。病变的磁共振成像显示在T1加权像上眼眶脂肪呈低信号，在T2加权像上呈等信号。钆喷酸葡胺T1加权像显示明显强化。肿瘤的组织病理学表现符合木村病。每日服用60毫克泼尼松治疗后，眼眶肿物体积缩小。近期文献回顾表明，至少在初始治疗时可尝试使用皮质类固醇而非手术治疗。
