Kimura’s Disease Initially Diagnosed as Malignancy then Extra-Pulmonary Tuberculosis

Abstract

Objective: To describe a rare case of Kimura’s disease initially misdiagnosed as malignancy then tuberculosis.Methods:     Design: Case report     Setting: Tertiary Private Hospital     Patient: OneResults: A 30-year-old male with a 6-year history of gradually-enlarging right infra-auricular mass revealed an enlarged mass in the right infraauricular area and multiple cervical lymphadenopathies on physical examination. Initial fine-needle aspiration biopsy was interpreted as pleomorphic adenocarcinoma but succeeding work-ups and imaging studies led to treatmentfor tuberculosis. Subsequent biopsies finally led to the proper histopathologic diagnosis of Kimura’s disease and the patient was shifted to appropriate treatment with oral prednisone.Conclusion: Kimura’s disease is rare and may be confused with other diseases such as malignancyor tuberculosis. Histopathologic diagnosis is necessary as its treatment differs from tuberculosisand other diseases.Keywords: Kimura’s disease, parotid gland tumor, angiolymphoid hyperplasia with eosinophilia