Ultrasonographic findings of Kimura’s disease presenting in the upper extremities

Authors
Gi Won ShinSun Joo LeeHye Jung ChooYoung Mi ParkHae Woong JeongSung‑Moon LeeJin‑Suck SuhSoo‑Jin Jung
Department
Dept. of Radiology (영상의학)
Issue Date
2014
Citation
Japanese Journal of Radiology, Vol.32(12) : 692-699, 2014
ISSN
1867-1071
Abstract
Objective: To describe ultrasound findings of Kimura’s disease arising in the upper extremities. Materials and methods: Five patients with Kimura’s disease confirmed by surgical resection were retrospectively reviewed by two musculoskeletal radiologists and a pathologist. Results: All six lesions involved the epitrochlear area and appeared as partially (n = 5) or poorly (n = 1) marginated subcutaneous masses with the presence of curvilinear hyperechoic bands intermingled within the hypoechoic components by US. Moderate (n = 4) to severe (n = 2) vascular signals were observed in some proportion of the hyperechoic bands by color Doppler US. The associated findings were the increased echogenicity of surrounding subcutaneous fat (n = 6) and adjacent lymphadenopathy (n = 4). Microscopic examination showed proliferation of lymphoid follicles with prominent germinal centers and intervening fibrosis. Conclusions: In this study, Kimura’s disease arising in the upper extremities showed a partially defined hypoechoic subcutaneous mass with internal hyperechoic bands and moderate-to-severe vascularities, increased echogenicity of the surrounding subcutaneous fat and adjacent lymphadenopathy on US. Thus, when these US features are observed in the typical epitrochlear region of an Asian individual, especially if accompanied by peripheral eosinophilia, Kimura’s disease should be considered as a possible diagnosis.
Keywords
Kimura’s diseaseUpper extremityUSMRICT
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/33916
Appears in Collections:
1. Journal Papers (연구논문) > 1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
Keimyung Author(s)
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Full Text
https://link.springer.com/article/10.1007%2Fs11604-014-0368-z
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