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Kimura's Disease: Diagnostic Challenge and Treatment Modalities
K J Sia1, C K L Kong2, T Y Tan3
1University of Malaya, Otorhinolaryngology Department, Malaysia. ingptang@yahoo.com.
Case Report:
Five cases of Kimura's disease had been treated in our centre from year 2003 to 2010. All cases were presented with head and neck mass with cervical lymphadenopathy. Surgical excision was performed for all cases. Definite diagnosis was made by histopathological examination of the resected specimens. One out of five cases developed tumour recurrence four years after resection.
Conclusion:
Surgical excision is our choice of treatment because the outcome is immediate and definite tissue diagnosis is feasible after resection. Oral corticosteroid could be considered as an option in advanced disease. However, tumour recurrence is common after cessation of steroid therapy.
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