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Histiocytic necrotizing lymphadenitis (Kikuchi's disease)
B M Sterman1, M S Benninger, I Eliachar
1Department of Otolaryngology and Communicative Disorders, Cleveland Clinic Foundation, Ohio 44195-5034.
Head & Neck
|July 1, 1989
Summary
Histiocytic necrotizing lymphadenitis, also known as Kikuchi's disease, is a benign condition often affecting young women with swollen lymph nodes. Accurate diagnosis requires collaboration between head and neck surgeons and pathologists to avoid confusion with cancer.
Area of Science:
- Otolaryngology
- Pathology
- Oncology
Background:
- Histiocytic necrotizing lymphadenitis (Kikuchi's disease) is a rare, benign condition.
- It primarily affects young women presenting with cervical lymphadenopathy.
- The condition can be mistaken for malignant neoplasms.
Observation:
- This report details a case of Kikuchi's disease.
- A review of relevant otolaryngologic literature is included.
- The clinical and pathological features are highlighted.
Findings:
- Kikuchi's disease presents a diagnostic challenge due to its potential mimicry of malignancy.
- Effective interdisciplinary consultation is vital for accurate diagnosis.
- The benign nature of Kikuchi's disease is emphasized.
Implications:
- Increased awareness in otolaryngology literature is needed.
- Pathologists and head and neck surgeons must collaborate closely.
- Timely and accurate diagnosis prevents unnecessary aggressive treatment.