우측협부에 발생한 기무라씨 병

A case of kimura s disease occured in right buccal area

kimura s disease affects subcutaneous tissue, major salivary glands and lymph node of the head and neck. It is important category of reactive lymphadenopathy in the oriental population. It is usually seen in younger individuals for a longer duration and occured as a deeply seated, large soft-tissue mass, without significant change of the overlying skin initially In addition, it was of often accompanied by peripheral blood eosinophilia and elevated serum IgE. Kimura s disease and angiolymphoid hyperplasia with eosinophilia(ALHE) are two distinct clinicopathological entities. The histological features suggest that angiolymphoid hyperplasia with eosinopholia cells, possibly neoplastic, whereas Kimura s disease is primarily an inflammatory condition. This disease is self-limiting and care must be taken to distinguish it from angiosarcoma. It often responds well to corticosteroid therapy but some patients can be resistant : in this patient symptomatic radiation therapy can be of value. A 58-years old man was referred for evaluation and treatment of a soft tissue swelling in the right ckeek area. He reported that it had been present approximately 6 months. On palpation, it felt like a well circumscribed, nontender, mobile soft tissue mass that was not attached to the skin or the buccal mucosa. The lesion was removed surgically and postoperative course was unremarkable with no recurrence.