Kimura's disease of parotid gland: a case report

Yıl 2006, Cilt: 16 Sayı: 1, 45 - 48, 13.01.2006

Ahmet Ural Ahmet Köybaşıoğlu Güldal Yılmaz Nalan Akyürek Ömür Ataoğlu

Öz

Kimura’s disease KD is a rare, chronic inflamma- tory condition of unknown origin that is more commonly seen in Asia. Lymphadenopathy in head and neck region and subcutaneous swelling are accom- panied with increased serum IgE levels. İn some cases renal involvement is seen. A 46-year-old male patient had been operated for a painless mass in superficial lobe of right parotid gland. The histopathologic examination of the specimen yield- ed the diagnosis of KD. Kimura’s disease, even though rarely encountered, must be kept in mind in the differential diagnosis of salivary gland tumors, and KD patients should be carefully followed up for renal involvement and recurrence in the postoperative period.

Anahtar Kelimeler

Kimura’s disease, parotid gland

Parotis bezinin Kimura hastalığı: Olgu sunumu

Öz

Kimura hastalığı KH , nedeni bilinmeyen, seyrek görülen, süregen enflamatuvar bir hastalıktır ve da- ha çok Asya’da görülür. Baş-boyun bölgesinde len- fadenopati ve ağrısız subkütan şişlikler, artmış se- rum IgE düzeyleri ve eozinofiliyle karakterizedir, ba- zı olgularda böbrek tutulumu da bildirilmiştir. Kırk al- tı yaşında erkek hastada sağ parotis yüzeyel lobun- da ağrısız kitle saptandı, süperfisyal parotidektomi yapıldı ve kitlenin histopatolojik tanısı KH olarak ra- por edildi. Yedinci ay takibinde nüks ve böbrek tutu- lumu lehine herhangi bir bulgu saptanmadı. Tükürük bezi kitlelerinin ayırıcı tanısında seyrek görülen bir durum olarak KH akılda tutulmalı ve bu hastalar ameliyat sonrası dönemde böbrek tutulumu ve nüks yönünden dikkatle takip edilmelidir

Anahtar Kelimeler

Kimura hastalığı, parotis

Kaynakça

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