Head and neck MRI of Kimura disease

T. Horikoshi, Ken Motoori, T. Ueda, R. Shimofusa, T. Hanazawa, Y. Okamoto, H. Ito

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)

Abstract

Objectives: The purpose of our study was to describe the MR appearance of Kimura disease and to interpret the differences in appearance from malignant parotid gland tumours. Methods: MR studies of seven patients with Kimura disease were reviewed. The MR studies included T1 weighted, T2 weighted, short tau inversion-recovery, diffusionweighted (DW) and dynamic contrast-enhanced imaging. Results: Typical Kimura disease featured subcutaneous lesions, continuously infiltrated parotid lesions from the subcutaneous lesions with or without intraparotid lymphadenopathies, and reactive cervical lymphadenopathies. The subcutaneous lesions showed gradual upward enhancement on dynamic contrast-enhanced MR images. Reactive lymph nodes showed early enhancement on contrast-enhanced MR images and marked high intensity and low apparent diffusion coefficient values on DW images. Conclusion: An indication for making the diagnosis of Kimura disease should be the subcutaneous tissue of the head and neck showing gradual upward enhancement on dynamic contrast-enhanced MRI and a lack of high intensity on DW images, associated with reactive lymph nodes.

Original languageEnglish
Pages (from-to)800-804
Number of pages5
JournalBritish Journal of Radiology
Volume84
Issue number1005
DOIs
Publication statusPublished - 2011 Sep 1
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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