A Case of Kimura Disease in the Left Postauricular and Neck Region.

Yinghui Gao, Hao Yan, Yuan Zhong
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Abstract

This case involved a 21-year-old male patient who was admitted due to having a lump behind the left ear that had been present for 2 years and had gradually increased in size for over a year. This was accompanied by palpable hard masses on the same side of the neck. Laboratory tests indicated an elevated eosinophil count, and magnetic resonance imaging confirmed the "string-of-beads" sign in the left cervical lymph nodes. Fine-needle aspiration cytology prior to surgery revealed reactive lymphoid hyperplasia with eosinophils. Ultimately, surgical excision confirmed the diagnosis of Kimura's disease. Following glucocorticoid treatment, the patient was monitored, and no new masses were detected during 7-months follow-up period.

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左耳后和颈部木村氏病一例
本病例涉及一名21岁男性患者,因左耳后方有肿块而入院,该肿块已存在2年,并在一年多的时间内逐渐增大。颈部同侧可见硬块。实验室检查显示嗜酸性粒细胞计数升高,磁共振成像证实左侧颈部淋巴结有“串珠状”征象。术前细针穿刺细胞学检查显示反应性淋巴增生伴嗜酸性粒细胞。最终,手术切除证实了木村氏病的诊断。糖皮质激素治疗后对患者进行监测,随访7个月未发现新肿块。
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