Kimura병으로 오인된 경부에 발생한 Hodgkin 림프종 1예

Cervical lymph node enlargement has been major challenges for head and neck physicians that are necessary to differentiate from various diseases, including inflammatory lymphadenopathy, malignant lymphoma, and metastatic tumor. Kimura disease is a rare, chronic inflammatory disorder of unknown cause. It is frequently associated with cervical lymphadenopathy and is possibly misdiagnosed with malignant tumor, especially lymphoma. The role of conventional fine needle aspiration biopsy (FNAB) appears to be limited in making the differential diagnosis between Kimura disease and malignant lymphoma. Here, we report a 68-year-old man presenting with a growing neck mass mimicking Kimura disease, which was finally diagnosed as Hodgkin lymphoma. Our results highlight that surgical excision biopsy should be considered for uncertain chronic inflammatory lymphadenopathy. (J Clinical Otolaryngol 2016;27:397-400)