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논문 기본 정보

자료유형
학술저널
저자정보
손홍주 (연세대학교 의과대학 진단방사선과학 교실)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제32권 제2호
발행연도
1995.1
수록면
243 - 248 (6page)

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Purpose: Kimura's disease is an inflammatory condition of unknown etiology which usually occurs in salivaryglands and cervical lymph nodes. This study was undertaken to evaluate the radiologic characteristics of Kimura'sdisease using CT and MRI. Materials & Methods: We evaluated CT & MR of 10 patients with histologically provedKimura's disease in the head and neck. Six males and four females between 16 and 58 years old (mean age, 37.6years) were included. Contrast enhanced CT scan was performed in all, and spin-echo MRI was performed in 2patients. Results: Both CT and MRI demonstrated the distinctive sites of involvement that were major salivaryglands(4 cases) and lacrimal gland (1 case), periglandular soft tissue (8 cases), and cervical lymph nodes (8cases). Majority of soft tissue lesions were ill-defined with infiltration to adjacent fascial planes, but nodallesions were relatively well-defined and homogenous. The lesions were iso-intense on T1-weighted image andhyper-intense on T2-weighted image. All but a few nodal lesions showed variable degree of contrast enhancement onCT and MRI. Conclusion: In diagnosis of Kimura's disease, CT & MRI of head & neck, especially salivary glands, areuseful. In cases of recurrent periglandular soft tissue mass with contrast-enhancing cervical lymphadenopathy inadult patients, Kimura's disease should be included in the differential diagnosis.

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