颌面部木村病超声特征、临床特点分析并文献复习OA北大核心CSTPCD

Objective:To explore the ultrasonic features and clinical features of Kimura disease(KD)in the maxillofacial region and summarize the diagnostic experience.Methods:A retrospective analysis was conducted on the clinical data and ultrasound images of 26 patients with KD admitted to Shanxi Cancer Hospital from January 2010 to June 2022.The ultra-sound and clinical features were analyzed and the diagnostic experience was summarized.Results:A total of 26 patients with KD were enrolled in this study,including 20 males and 6 females(Sex ratio 3.3∶1).The median age of the patients was 45 years and 6 months.Blood routine examination showed that the percentage of serum eosinophil increased in all patients.The ultrasound results showed that lesions were detected in all 26 patients,with 5 cases of lymphoma(19.23%),6 cases of malig-nant lesions(23.08%),4 cases of pleomorphic adenomas(15.38%)and 11 cases(42.31%)of undetectable nature suggested punc-ture biopsy.In this group,there were 8 cases(30.77%)with simple lymph node type,11 cases(42.31%)with simple parotid gland+surrounding soft tissue type,and 7 cases(26.92%)with parotid gland+surrounding soft tissue+lymph node type.Compari-son of ultrasonic features of different types of lesions in KD showed statistically significant differences in boundary,morphology and mixed echo(P<0.05).Histopathology showed lymphoid follicular hyperplasia,infiltration of eosinophils,necrosis of some germinal centers or formation of eosinophilic micro abscesses.Conclusion:KD mainly occurs in young and middle-aged men and most of the lesions involve the head and neck.Ultrasonic and clinical manifestations of KD are easy to be misdiagnosed.It should be diagnosed in combination with histopathological examination to improve the diagnostic accuracy.