头颈部木村氏病

Dae-Neung Lee, Sujung Yeom, Dong Hoon Lee, Sang Chul Lim
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摘要

目的我们分析了最终诊断为木村病的手术患者的临床特征和治疗效果。患者和方法:2007年1月至2022年12月期间,最终诊断为头颈部木村病的手术患者共8例。结果最常见的症状是头颈部肿块(7 例),其次是偶然发现(1 例)。除了 1 名患者的颊间隙有木村病外,其他患者均有多个头颈部病变。5 名患者术前接受了细针穿刺细胞学检查,但未能确诊为木村瘤。所有患者均接受了手术切除。术后未出现重大并发症。6 名患者在术后接受了类固醇治疗,其中 1 名患者在类固醇治疗的副作用下接受了放射治疗。在随访期间,5 名患者复发。在评估的参数中,只有症状持续时间较长与木村病的复发有统计学意义。结论是临床医生应根据无症状肿块、外周血嗜酸性粒细胞增多症和影像学检查来怀疑木村病,并通过手术明确诊断。
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Kimura Disease of the Head and Neck Region.

Objective: We analyzed the clinical characteristics and treatment results in surgical patients with a final diagnosis of Kimura disease. Patients and Methods: 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. Results: 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. Conclusion: Clinicians should suspect Kimura disease based on asymptomatic masses, peripheral blood eosinophilia, and imaging examinations and make a definitive diagnosis via surgery.

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