Recurrent Kimura Disease of Lacrimal Gland-Case Report

Abstract

A 21- year- old young man presented with bilateral eyelids swelling and had a palpable mass under the skin of left upper eyelid. The patient had received excision of a tumor mass over the left upper eyelid three years ago under the diagnosis of Kimura disease. Unfortunately, the mass lesion had recurred and been gradually growing in past two years. The orbital CT showed a tumor mass beneath the skin of left eyelid and enlarged bilateral extraocular muscles. Laboratory studies revealed peripheral eosinophilia with elevated IgE level. We completely excised the tumor mass in combination with blephoplasty and got good cosmetic results. Pathology reported that multiple germinal centers were infiltrated with massive lymphocytes and eosinophils had diffusely infiltrated the whole tumor lesion, which characterizes Kimura disease. Typical Kimura disease develops predominantly in teenage patients and an orbital lesion is rare. Recurrence of Kimura disease scarcely happened after complete surgical excision. In this report, we confirmed in the case of the 21year-old young man with recurrent orbital Kimura disease. After surgical excision with simultaneous blepharoplasty, a good surgical outcome and satisfactory cosmetic results were achieved.