대한세포병리학회지 (The Korean Journal of Cytopathology)

대한세포병리학회 (The Korean Society for Cytopathology)
권호 표지

귀밑샘의 기무라병의 세침흡인 세포학적 소견 -세포학적 검사로 예측할 수 없었던 1예 보고-

Fine Needle Aspiration Cytology of Kimura's Disease of Parotid Gland - Report of A Case Cytologically Failed to Diagnose as Kimura's Disease -

  • 김세훈 (연세대학교 의과대학 병리학교실) ;
  • 김혜령 (연세대학교 의과대학 병리학교실) ;
  • 김성은 (연세대학교 의과대학 병리학교실) ;
  • 양우익 (연세대학교 의과대학 병리학교실) ;
  • 이광길 (연세원주의과대학 병리학교실) ;
  • 홍순원 (영동세브란스병원 진단병리과)
  • Kim, Se-Hoon (Department of Pathology, Yonsei University, College of Medicine) ;
  • Kim, Hae-Ryoung (Department of Pathology, Yonsei University, College of Medicine) ;
  • Kim, Sung-Eun (Department of Pathology, Yonsei University, College of Medicine) ;
  • Yang, Woo-Ick (Department of Pathology, Yonsei University, College of Medicine) ;
  • Lee, Kwang-Gil (Department of Pathology, Yonsei University Wonju College of Medicine) ;
  • Hong, Soon-Won (Department of Pathology, Yeongdong Severance Hospital)
  • 발행 : 2003.11.30
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초록

Kimura's disease is a chronic inflammatory disorder of unknown cause and is most prevalent among Asians. The cytologic findings of Kimura's disease are significant numbers of eosinophils in a background of lymphoid cells, occasional fragments of collagenous tissue, proliferation oi vessels, and Warthin-Finkeldey polykaryocytes. Among these features, the most important cytologic feature of Kimura's disease is a significant numbers of eosinophils. We experienced a case of Kimura's disease in the parotid gland which we fatted to recognize on cytology due to the apparent paucity of eosinophils. On careful retrograde reviewing of the cytologic findings, a few scattered leukocytes, previously interpreted as polymorphous leukocytes, had bilobed nuclei and coarse green but granular cytoplasm on Papanicolaou preparation. These leukocytes showed obvious orange-red intracyloplasmic granules as in eosionophils on Giemsa stain. The paucity of eosinophils may be due to the thick fibrosis around lymphoid follicles or any technical error during aspiration. Whereas the Warthin-Finkeldey type giant cell is not a sensitive cytologic marker of Kimura's disease, it may be a helpful cytologic feature. To reach a correct cytologic diagnosis of Kimura's disease, It is important to keep in mind that searching for Warthin-Finkeldey type giant cells and evaluation of Giemsa stain for detection of eosinophils would be helpful.

키워드

참고문헌

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