木村病的临床表现及超声图像特征分析

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ABSTRACTObjectiveTo summarize the clinical manifestations andultrasound imagingfeatures Kimura’sdisease indiferentlocations.MethodsAtotal24patientswith Kimura’sdiseaseconfirmedbypathologyinour hospital were selected，according to the lesion location，they were divided salivary gland type（ n =8），subcutaneous mass type（n=8），and lymph node type （ n =8）.The diferences in clinical manifestations and ultrasound imaging features among the types were compared. ResultsThere were statisticallysignificantdiferences inskinsymptoms（presenceorabsenceskinpigmentationoritching）， lesion morphdogy，boundary and proportion“grid-like”or“wool curl”echo among the three types（all P <0.05）.Among them， salivary gland typeandsubcutaneous masstype mainly showed iregularshapeand unclearboundary（15/16），“wool curl”or “gridlike”echo（14/16），andpresentedwithskinpigmentationoritching（8/16）.Lymphnodetypeshowedregularshape，clear boundary（6/8），andhomogeneousecho（7/8），withoutskinsymptoms.Contrast-enhancedultrasoundwas performedon9patients， 2cases salivarygland type showedhomogeneous hyperenhancement，3cases subcutaneous masstypeshowed heterogeneous hyperenhancement，and2cases lymphnodetypeshowedcentrifugal hyperenhancement，1caseshowedmixeduniform hyperenhancement，andlcaseshowed mixednon-uniform isoenhancement.ConclusionThesalivaryglandtypeandsubcutaneous masstype Kimura'sdiseasehavecertain clinical manifestationsandultrasoundimaging features.The ultrasounddiagnosis lymphnodetypeKimura’sdiseaseismore dificult，andhistopathological examinationshouldbecombinedtoimprovethe diagnostic accuracy.

KEYWORDSUltrasonography;Kimura'sdisease;Clinic

木村病又称嗜酸性粒细胞增生性淋巴肉芽肿，是一种罕见的慢性炎症性疾病，以皮下或软组织肿块伴嗜酸性粒细胞（Eos）增多为主要特征。（剩余6999字）