HomePhilippine Journal of Otolaryngology Head and Neck Surgeryvol. 27 no. 1 (2012)

Kimura’s Disease Initially Diagnosed as Malignancy then Extra-Pulmonary Tuberculosis

Nikki Lorraine Y. King-chao | Samantha S. Castañeda, Md | Michael A. Sarte

 

Abstract:

Objective: To describe a rare case of Kimura’s disease initially misdiagnosed as malignancy then tuberculosis.

 

Methods:

Design: Case report

Setting: Tertiary Private Hospital

Patient: One

Results: A 30-year-old male with a 6-year history of gradually-enlarging right infra-auricular mass revealed an enlarged mass in the right infraauricular area and multiple cervical lymphadenopathies on physical examination. Initial fine-needle aspiration biopsy was interpreted as pleomorphic adenocarcinoma but succeeding work-ups and imaging studies led to treatment for tuberculosis. Subsequent biopsies finally led to the proper histopathologic diagnosis of Kimura’s disease and the patient was shifted to appropriate treatment with oral prednisone.

 

Conclusion: Kimura’s disease is rare and may be confused with other diseases such as malignancy or tuberculosis. Histopathologic diagnosis is necessary as its treatment differs from tuberculosis and other diseases.