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호산구 증다증을 동반하지 않은 기무라병 1예

A Case of Kimura's Disease Without Eosinophilia

대한두경부종양학회지 2020년 36권 1호 p.21 ~ 25
김혜수 ( Kim Hye-Soo ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery

김선우 ( Kim Sun-Woo ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery
이진 ( Lee Jin ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery
이상혁 ( Lee Sang-Hyuk ) - Sungkyunkwan University School of Medicine Kangbuk Samsung Hospital Department of Otorhinolaryngology-Head and Neck Surgery

Abstract


Kimura's disease is a rare disease of unknown etiology, commonly presenting with slow-growing head and neck subcutaneous nodules. It primarily involves the head and neck region, presenting as deep subcutaneous masses and is often accompanied by regional lymphadenopathy and salivary gland involvement. Clinically it is often confused with a parotid tumor or lymph node metastasis. It is difficult to diagnose before surgery, and fine needle aspiration cytology has only limited value. Even though this disease has not shown any malignant transformation, it is often difficult to cope with because of its high recurrence rate. Surgery, steroids, and radiotherapy have been used widely as the first-line recommendation, but none of them is standard procedure until now because of high recurrence rates. The recurrence of the disease reported up to 62%. We recently experienced a case of Kimura's disease, not accompanying peripheral eosinophilia, on the parotid gland treated by surgical resection in an 82-year-old woman with polycythemia vera. Here, we report this case with a review of the literature.

키워드

Kimura's disease; Eosinophilia; Treatment
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