• 제목/요약/키워드: Kimura's disease

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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;김혜령;김성은;양우익;이광길;홍순원
    • 대한세포병리학회지
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    • 제14권2호
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    • pp.86-90
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    • 2003
  • 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.

하지에 생긴 Kimura 병: 연부 조직 악성 종괴 형태로 발생한 증례 보고 (Kimura's Disease in the Lower Extremity: A Case Report Mimicking the Malignant Soft Tissue Mass)

  • 이지영;서경진;정홍근
    • Investigative Magnetic Resonance Imaging
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    • 제12권1호
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    • pp.55-59
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    • 2008
  • 37세 여자 환자의 하지에 연부 조직 악성 종양 형태로 발생한 Kimura 병을 보고 하고자 한다. 하지에 발생하는 경우는 매우 드물지만 피하 지방층에 경계가 안 좋은 고형 종괴가 임파선 형태를 유지하며 주위 조직으로 침윤이 있다면 Kimura 병을 감별진단에 포함시켜야 하며 말초 혈액검사와 혈청 IgE 수치 측정을 권유하여야 할 것으로 생각된다.

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경부에 발생한 기무라씨병 1례 (A Case of Kimura's disease)

  • 김춘일;김상후;정대건;박용수
    • 대한기관식도과학회지
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    • 제3권2호
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    • pp.323-326
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    • 1997
  • Kimura's disease is a chronic inflammatory disease which often presents as a tumor like swelling in the head and neck region. This lesion is benign but it may easily be mistaken for a malignant tumor. Kimura's disease has been confused with angiolymphoid hyperplasia with eosinophilia(ALHE). The cause is unknown, but theories include autoimmune, allergic, neoplastic, and infectious cause by insect bites and parasites. The treatment of choice is surgical removal. Recently we experienced a case of Kimura's disease occuring in the both side of posterior neck triangle area of a 37 year old male patient who was treated with surgical excision and systemic corticosteroid administration.

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기무라 병 환자에서 수술적 치료 및 술 후 스테로이드 병합요법의 치험2례 (Case report of Kimura's disease Treated by Radical resection and Post Operative Steroid therapy)

  • 김정태;김기웅;이경묵;김연환
    • Archives of Plastic Surgery
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    • 제36권2호
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    • pp.229-232
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    • 2009
  • Purpose: Kimura's disease is a relatively rare head and neck tumor that frequently occurs in young orientals accompanied with eosinophila. We shared our experience of two cases of Kimura's disease, treated by radical resection and post operative steroid therapy, so we report the correlation of eosinophil counts and disease progression. Methods: A 25 years old male came to the clinic with a mass localized to the right cheek inferior to the right auricle. We could not resect the mass totally. During the follow up period, we checked the eosinophil counts, and steroid therapy was started 7 months after the surgery. A 34 year old female came to the clinic with a mass localized inferior to the left auricle reaching from the posterior portion of the auricle to the left temporal portion. We tried to remove as much tumor as possible, save the temporal region, in regard to the impairment of blood supply to the auricle. After operation, steroid therapy was started. Results: In the first case, the tumor was easily approachable, and radical resection of the tumor with post operative steroid therapy was an effective treatment. In tumors located at difficult regions to remove, as in the second case, optimal debulking and post operative steroid therapy was also effective in treating Kimura's. There were no recurrences in both cases. Eosinophil counts were always reduced after surgery and steroid therapy, and during the period with low eosinophil counts, there was no recurrence of Kimura's disease. Conclusion: Surgery and post operative steroid therapy were effective in treatment of Kimura's disease, and we could assume eosinophil counts as a good indicator for evaluation of the prognosis of Kimura's disease during the follow up period.

시차를 두고 양측 후이개에 발생한 기무라씨병 1예 (Sequentially Developed Bilateral Postauricular Kimura's Disease)

  • 이용주;김창용;남지해;박순형
    • 대한두경부종양학회지
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    • 제29권1호
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    • pp.22-25
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    • 2013
  • Angiolymphoid hyperplasia with eosinophilia(Kimura's disease) is a relatively uncommon chronic benign disorder of unknown etiology, predominantly in the head and neck region and associated with lymphadenopathy or salivary gland enlargement. The treatment options are still controversial including medical therapy, surgery, and radiation. Kimura's disease of bilateral postauricular involvement has rarely been reported. We report a male patient with sequentially developed Kimura's disease involving the bilateral postauricular region and was treated by combined surgical excision and steroid therapy.

KIMURA'S DISEASE 치험례 (THE CASE REPORT OF KIMURA'S DISEASE)

  • 이상철;김여갑;류동목;조선경
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제13권3호
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    • pp.332-337
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    • 1991
  • Kimura's disease is a chronic inflammatory condition producing subcutaneous tumor-like nodules mainly head and neck regions. Elevated serum Ig E levels and peripheral blood eosinophilia are common. Kimura's disease represents and aberrant immune reaction to an as yet unknown stimulus. This case presented is 27 year old female whose chief complaint were painful swelling on Rt cheek and temporal area and diagnosed as Kimura's disease. We preformed surgical excision of the mass on Rt. cheek and temporal area and reconstructed with temporal flap and about 100 cc of free fat graft on the defect of Rt. cheek.

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Kimura병 환자의 전신마취 사례 (Anesthetic Management of a Patient with Kimura's Disease)

  • 최은지;박상진
    • Journal of Yeungnam Medical Science
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    • 제26권1호
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    • pp.38-43
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    • 2009
  • Kimura's disease is an idiopathic chronic condition, associated with a high-titer of IgE and peripheral eosinophilia. It frequently presents as a solitary or multiple lesions in the head and neck area. During the perioperative period, anesthesiologists should understand the anatomical structures of the patient who has Kimura's disease involvement of the head and neck, especially the airway. It is important to pay attention to the occurrence of signs and symptoms of acute allergic reactions related to a high-titer of IgE and eosinophilia. We report our experience with anesthetic management in an 18-year-old patient with multiple neck masses due to Kimura's disease.

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Kimura's Disease의 방사선치료 -증례보고 및 문헌고찰- (Radiotherapy in Kimura's Disesse -Case Report and Review of Literatures-)

  • 허길자;강승희;서현숙
    • Radiation Oncology Journal
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    • 제12권1호
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    • pp.67-71
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    • 1994
  • Kimura's disease is a rare disorder which predominantly involves the head and neck region can cause eosinophilia in peripheral blood. It has been treated with steroids, surgical excision, irradiation, cryotherapy, and laser. The lesions have a tendency to recur after steroid and surgery. We reviewed 2 patients with Kimura's disease who recurred. because they were resistant steroid therapy and surgery, and treated succesfully conventional radiation therapy.

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호산구증가증을 동반한 혈관임파양 증식증 (RECURRED ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA)

  • 변영남;김종철;정필훈;윤영호
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.636-646
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    • 1996
  • Angiolymphoid hyperplasia with eosinophilia(ALHE) is a benign subcutaneous lesion that primarily affects head and neck region. It is characterized by single or multiple nodules in the subcutaneous tissue associated with eosinophilia in the peripheral blood. Kimura's disease, originally reported by Kimura et al., is similar lesion with ALHE in the clinical and histopathological aspects. There has been considerable controversy about the relation between Kimura's disease and ALHE. In Korea, 26 cases of Kimura's disease and ALHE have been reported since 1975. We present a case of recurred ALHE occurring on the left cheek in a 58-year-old woman. Including this case, we summarized all cases that were reported as Kimura's disease or ALHE in Korea through literature review. We also give an outline of clinical and histopathological characteristics of cases reported in Korea.

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이하선부에 발생한 Kimura's disease에 대한 치험례 (A CASE REPORT OF KIMURA'S DISEASE IN THE PAROTID REGION)

  • 변성수;정휘동;최영달;김현실;차인호;김형준
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제33권5호
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    • pp.554-558
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    • 2007
  • 저자 등은 좌측 이하부에 발생한 기무라씨병을 가진 19세의 남환에 대하여 표층 이하선 절제술을 동반한 종양 절제술과 함께 방사선 치료를 시행하였다. 수술 후 약 6년 9개월 경과 관찰 한 결과 현재까지 특기할만한 후유증 및 합병증과 재발 소견 혹은 증상은 보이지 않았기에 문헌 고찰과 함께 보고하는 바이며, 이후에도 지속적인 경과관찰을 요하리라 사료된다.