Japanese Journal of National Medical Services
Online ISSN : 1884-8729
Print ISSN : 0021-1699
ISSN-L : 0021-1699
A CASE OF EOSINOPHILIC LYMPHOID GRANULOMA; SO-CALLED KIMURA'S DISEASE
Shigeaki NAGAYA
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1970 Volume 24 Issue 4 Pages 343-348

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Abstract
The characteristic figures of eosinophilic lymphoid granuloma are tumors growing in the soft tissue, causing its remarkable local production of lymphfollicles, and eosinophilic leucocytosis both in the local field and in the periphery blood. Eosinophilic lymphoid granuloma is now considered as an independent disease, though it is rather a rare one. Up to the present, about 100 cases are reported in Japan, while it is difficult to find any case reports in foreign countries. The author reported here a case of eosinophilic lymphoid granuloma treated for six years by himself. The patient is a dealer, aged 27-years-old, who visited our clinic at first in october, 1962. The tumor which had beer, at that time, as large as a little hen's egg, grew up as large as a fist after two years, accompanied no subjective symptomes. The leucocytes numbered at maximum 15, 600 and the maximal percentage of the eosinophilic leucocytes amounted to fifty six. The typical figures was observed histologically on its tisse. At the beginning, administraticn of steroids had an effect on marked reduction of its size, but after a while their effects became uncertain. Because of its vague boundary from the parotid gland, only the partial resection of the tumor were attempted twice. Soon after each surgery the tumor reproduced progressively. It was found finally that the radiation therapy was most effective. In consequence of the radiation amounted to 2, 000r, the tumor had distinctly reduced and persistent for six months without any sign of recurrence.
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