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Kimura disease, lumps on neck - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   my doctor said i have kimura disease.they want to take the lumps off.they say its not cancerous.why will they take it off?
Doctor :   HI
Doctor :   I am Dr.
User :   hi pls help me understand my doctor
Doctor :   Can you please spell the name again of the disease?
User :   kimura disease
Doctor :   Kimura disease is a very rare entity
Doctor :   Did you see a General physician or a specialist
User :   my doctor is an internal medcine anyway
Doctor :   Ok
Doctor :   This is common in
Doctor :   What is your age?
Doctor :   Where are the lumps?
User :   im 41.the lumps are on my right side neck
Doctor :   How many and when did you notice them?
User :   3 of them .since march
Doctor :   Are they increasing in size?
User :   sometimes.but they are time where they shirink but they dont totally disappear
Doctor :   Right this is the natural progression of Kimura disease
Doctor :   Was a biopsy taken to be able to diagnose it as Kimura?
Doctor :   from the lump?
User :   not yet
Doctor :   Any blood tests like blood counts done for Eosinophil?
User :   they said that they will take the lumps entirely
User :   they took a lot of blood tests
Doctor :   The diagnosis of Kimura is mainly after a pathologist report after biopsy
User :   im so confuse...
Doctor :   The Kimura is extremely uncommon entity and presents only in Asians, as a painless lump, an enlarged lymph nodes
User :   they told me that they will take it entirely
User :   i have a 38 fever now
Doctor :   Do not be confused I shall explain you everything about it
User :   its been going on for one week already
Doctor :   Kimura is not worrisome at all
User :   pls....
Doctor :   and it does not result in cancer at all
Doctor :   Kimura grows in size and you cannot stop it unless you excise it
User :   ny doctor said that she is not 100% sure its kimura disease
Doctor :   If the lymph nodes are small, the doctor prefers to do an excisional biopsy rather than taking part of the lymph node
Doctor :   and send it to the Doctor
User :   she is giving me steriod right now
Doctor :   send it to the Biopsy
Doctor :   For that matter, any small lump shall be excised and sent to the biopsy
User :   she said they will take the whole lump
Doctor :   Hence the doctor prefers to be done
Doctor :   Yeah
Doctor :   By taking the whole lump, there are many advantages
User :   what are they
User :   plss.
Doctor :   1) The lump disappears, it may not recur
Doctor :   2) They can send it to Biopsy, they can find with the help of pathologist, if it is Kimura or not
Doctor :   3) It cannot cause symptoms as it takes lot of time to re appear
Doctor :   4) Steroids are given to reduce the size of it
User :   what are the other diseases it may be?
Doctor :   Dermatofibrosarcoma
User :   what is that?
Doctor :   Pyogenic granuloma
User :   imsorry im not that smart....
Doctor :   I do not want to confuse you
Doctor :   with all this
Doctor :   Just take the word of mine, if it is Kimura, just forget about it and keep observing it
Doctor :   Let the doctor do the excision and send the lump for biopsy
User :   but the lumps hurt when its big and im having fever
Doctor :   Let the report come
Doctor :   That is the reason why the doctor prefers to remove it in entirety
User :   ohhh
Doctor :   Kimura can be left alone if it is not bothering you cosmetically
Doctor :   If you feel that this is disturbing me whenever I see myself in the mirror, then get it removed
User :   it does not deforme me entirely...but it hurts and i have fever
Doctor :   Fever is temporary
Doctor :   It happens and it can be taken care of with simple Tylenol
User :   but is it ok to drink paracetamol always?
User :   imsorry to bothr you with my bpersonal life but its getting to me deeply
Doctor :   No problem
User :   my wife is always worried
Doctor :   You can have paracetmol if the fever is more than 39 degree
Doctor :   I think you should not worry
User :   take you very much for your kind consideration
Doctor :   The doctor is taking the right step in excising the lymph node and sending it to the biopsy
User :   you have been a big help with my emotion..
User :   thank you...
Doctor :   It is my pleasure
User :   another question pls..
Doctor :   Yes go ahead
User :   what happeneds with my lymph nodes if they take it
User :   will they take my lymph nodes?
Doctor :   The lymph nodes taken away are the enlarged ones, which are causing you trouble.
Doctor :   THere are other lymph nodes ( hundreds of them)
Doctor :   which shall protect you as ever
User :   so it is my lymph nodes that they are going to take away
Doctor :   yes
Doctor :   Kimura is a disease of the lymphnodes
Doctor :   which keep enlarging and make you disfiguring
User :   thank you... god bless and more power
User :   bye
Doctor :   Thanks
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