軟部好酸球肉芽腫の4症例

Kimura's Disease:Report of 4 Cases with a Review of 130 Reported Cases

　はじめに

　軟部好酸球肉芽腫いわゆる木村氏病は特異な検査所見を示し，皮下に腫瘤を形成する良性の疾患である。頭頸部に好発するため耳鼻咽喉科にて最も多く取り扱われる。しかし再発率が高く，その治療法はまだ確立されていない。今回われわれは軟部好酸球肉芽腫の4症例を経験したので報告し，また発生部位と治療法について文献的に検討したので報告する。

Four cases of Kimura's disease were reported, and other 130 reported cases in the literature (1982 ~1990) were reviewed. Comparisons were made between ours and the other reported cases as regard to the sites of occurrence and the methods of treatment. Past reports had similar tendency with ours as to the sites of occurrence. Although it had been reported that Kimura's disease can be best treated with the combined therapy, our report revealed that the combined therapy does not lower the recurrence rate as reported elsewhere. It is important that Kimura's disease should be followed up for a long period of time.