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Indian Journal of Surgery

, Volume 81, Issue 1, pp 91–93 | Cite as

Kimura’s Disease: Presenting as a Giant Head and Neck Mass

  • Deepti Gupta
  • Shamendra Anand SahuEmail author
  • Ravikiran Nalla
  • Maneesh Singhal
Images in Surgery
  • 35 Downloads

Abstract

We report an interesting case of Kimura’s disease (KD) that presented as a giant head and neck mass. KD is a rare chronic inflammatory disorder and usually presents as small subcutaneous swellings in the head and neck region. Such a large mass of 15 × 17.5 cm as seen in our patient has previously not been reported, to the best of our knowledge. The radiological picture was that of an enlarged subcutaneous mass with heterogeneous enhancement of the salivary gland. The histological findings were helpful in identifying the lesion as KD. The combination of these two aided us in differentiating it from other lesions such as follicular lymphoma, angiolymphoid hyperplasia with eosinophilia (ALHE) and Langerhan’s histiocytosis. There is no standard protocol for management of this disease owing to its rarity. Due to the extensive and ill-defined nature of the lesion in our patient, we have started the patient on systemic high-dose corticosteroid therapy to downsize the lesion and we plan to follow up with surgical excision if needed.

Keywords

Kimura Swelling ALHE Lymphoma 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. 1.
    Afzan A, Kuantan P (2014) Kimura’s disease of the parotid: a complete clinical-radiological-pathology report. Med J Malaysia 69(4):199–201Google Scholar
  2. 2.
    Chintamani, Sugandhi N, Khandelwal R et al (2010) Kimura’s disease masquerading as parotid malignancy. JRSM Short Rep 1(5):41CrossRefGoogle Scholar
  3. 3.
    Park SW, Kim HJ, Sung KJ, Lee JH, Park IS (2012) Kimura disease: CT and MR imaging findings. Am J Neuroradiol 33(4):784–788CrossRefGoogle Scholar
  4. 4.
    Ye P, Ma DQ, Yu GY, Gao Y, Peng X (2017) Comparison of the efficacy of different treatment modalities for Kimura’s disease. Int J Oral Maxillofac Surg 46(3):350–354CrossRefGoogle Scholar

Copyright information

© Association of Surgeons of India 2018

Authors and Affiliations

  1. 1.Department of Plastic, Reconstructive and Burns SurgeryAll India Institute of Medical SciencesNew DelhiIndia

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