Comparison of the efficacy of different treatment modalities for Kimura's disease

Abstract The objective of this study was to investigate the clinical features of Kimura's disease in the head and neck region and to compare the local recurrence rate between three therapies used for the treatment of this disease. The clinicopathological information of 46 hospitalized patients...

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Bibliographic Details
Published in:International journal of oral and maxillofacial surgery 2017-03, Vol.46 (3), p.350-354
Main Authors: Ye, P, Ma, D.-Q, Yu, G.-Y, Gao, Y, Peng, X
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Angiolymphoid Hyperplasia with Eosinophilia - diagnosis
Angiolymphoid Hyperplasia with Eosinophilia - therapy
Child
Child, Preschool
Combined Modality Therapy
Dentistry
Diagnosis, Differential
Female
Humans
Image-Guided Biopsy
Kimura's disease
Male
Middle Aged
Prognosis
radiotherapy
Recurrence
Retrospective Studies
Surgery
surgical excision
Ultrasonography, Interventional
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Summary:Abstract The objective of this study was to investigate the clinical features of Kimura's disease in the head and neck region and to compare the local recurrence rate between three therapies used for the treatment of this disease. The clinicopathological information of 46 hospitalized patients suffering from Kimura's disease in the head and neck region over a 10-year period was reviewed retrospectively. All lesions were clinically observed in the head and neck region. These 46 patients underwent a total of 58 treatments; nine patients underwent multiple treatments due to local recurrence. Of the 58 treatments, 32 involved surgical excision alone, 24 involved surgical excision and postoperative low-dose radiotherapy (20–40 Gy), one was a combination of ultrasound-guided core needle biopsy and radiotherapy, and one was a combination of incisional biopsy and subsequent radiotherapy. During the follow-up period, nine patients suffered 16 local recurrences. The recurrence rate of surgical excision combined with low-dose radiotherapy was much lower than that of surgical excision alone or radiotherapy alone (both P < 0.05). It is concluded that Kimura's disease is a benign condition with a good prognosis, and surgical excision combined with postoperative low-dose radiotherapy is associated with the lowest local recurrence rate in the treatment of this disease.
ISSN:0901-5027
1399-0020
DOI:10.1016/j.ijom.2016.08.013