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Kimura's Disease Presenting as the Middle Mediastinal Mass

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Presentation on theme: "Kimura's Disease Presenting as the Middle Mediastinal Mass"— Presentation transcript:

1 Kimura's Disease Presenting as the Middle Mediastinal Mass
Chong Zhang, MD, Jian Hu, MD, Zhiying Feng, MD, Tao Jin, MD  The Annals of Thoracic Surgery  Volume 87, Issue 1, Pages (January 2009) DOI: /j.athoracsur Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 (A) The mediastinal mass with right pleural effusion. (B) Echocardiographic scan shows mediastinal mass invaded cardiac base, especially the right and left atrium. (C) Pleural effusion filled almost all of the right thoracic cavity and the giant mediastinal mass involving cardiac structure. (D) Pleural effusion disappeared and mediastinal mass did not decrease to some extent. (LA = left atrium; M = mediastinal Kimura's disease; PE = pleural effusion; RA = right atrium.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Photomicrograph of Kimura's disease in the right axillary and neck lymph nodes. Microscopically, the involved nodes showed marked hyperplasia of germinal centers and extensive infiltration by mature eosinophils with formation of eosinophilic abscesses. (Hematoxylin and eosin; ×100.) (B) Photomicrograph of Kimura's disease in the middle mediastinum. The manifestation was massive infiltration by eosinophils, with predominantly eosinophilic aggregation in some areas. (Hematoxylin and eosin; ×400.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Microscopical pathology of re-biopsied mediastinal mass demonstrated Kimura's disease. (Hematoxylin and eosin; ×400.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

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