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

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Author(s)
Gi Won ShinSun Joo LeeHye Jung ChooYoung Mi ParkHae Woong JeongSung‑Moon LeeJin‑Suck SuhSoo‑Jin Jung
Keimyung Author(s)
Lee, Sung Mun
Department
Dept. of Radiology (영상의학)
Journal Title
Japanese Journal of Radiology
Issued Date
2014
Volume
32
Issue
12
Keyword
Kimura’s diseaseUpper extremityUSMRICT
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.
Keimyung Author(s)(Kor)
이성문
Publisher
School of Medicine
Citation
Gi Won Shin et al. (2014). Ultrasonographic findings of Kimura’s disease presenting in the upper extremities. Japanese Journal of Radiology, 32(12), 692–699. doi: 10.1007/s11604-014-0368-z
Type
Article
ISSN
1867-1071
Source
https://link.springer.com/article/10.1007%2Fs11604-014-0368-z
DOI
10.1007/s11604-014-0368-z
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/33916
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
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