左腮腺木村氏症—病例報告

十六歲男性患者，因左頸耳垂處持續增大之腫塊已半年而求診。過去病史有腎病症候群，目前無服藥，亦無其他病史，也無食物、藥物之過敏史。臨床檢查顯示腫瘤約2公分，為一無痛質地軟且有彈性，亦有觸診成串軟可移動之淋巴結於頸部，口腔內無粘膜或牙齒之病灶。頭頸部磁振造影檢查顯示左側腮腺邊緣有一明確的腫瘤及多顆淋巴結，符合臨床之發現；細針穿刺細胞學放檢查之顯示為淋巴腺炎，因此初步診斷為左側腮腺腫瘤合併淋巴腺炎。為病人施行左側腮腺表葉摘除術之後，術後傷口癒合良好，顏面神經功能正常，病理診斷為木村氏症，術後追蹤一年半並無再發。有鑑於此病例較少見，其臨床之鑑別診斷、治療方式及追蹤模式均值得討論，故提出報告做為參考。

關鍵字

木村氏症；腮腺腫瘤

並列摘要

A 16-year-old patient complained of an enlarging, painless mass in left neck near the ear lobe for six months. He has a history of nephrotic syndrome without current medication, and without food or drug allergy. The mass located at infra-auricular region with soft, elastic consistency about 2 cm in diameter combined with surrounding palpable lymph nodes MR image revealed left parotid tumor with clean demarcation and obviously reactive lymph nodes, consistent with clinical findings. In addition, fine needle aspiration cytology was made from the parotid tumor with pathology report of lymphadenitis. The patient underwent superficial parotidectomy under the tentative diagnosis of left parotid tumor, and showed good wound healing without abnormal facial nerve dysfunction. The pathologically confirmed diagnosis is Kimura's disease. The lesion was not recurrent under the regular follow-up about one and half year. The disease was clinically rare, so we proposed the case for reference regarding the differential diagnosis, treatment modality and follow-up.

並列關鍵字

Kimura's disease ； parotid tumor

國際替代計量

左腮腺木村氏症—病例報告

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