Radiation therapy treats recalcitrant Kimura’s disease: a case report
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چکیده
Objective: Treatment of a recalcitrant case of Kimura’s disease (KD) is described. Lesions recurred after injection of betamethasone, but responded well to radiation therapy using a Varian 21EX linear accelerator. A literature review and discussion of efficiency and safety issues is included. Method: A 53-year-old female with KD of the right cheek was treated with intramuscular injection of betamethasone (1 mL) and repeated after 21 days, which was followed by recurrence after significant remission. The patient was then given radiation therapy using a Varian 21EX linear accelerator, with a total dosage of 28.16 Gy in 17 fractions (5 d/wk, 1 fraction/d). Result: Radiation therapy led to complete remission of the KD lesions and improvement in the local skin, with no recurrence during 5 months of weekly follow-ups. Conclusion: Radiotherapy with the Varian 21EX was effective for KD involving the cheek area even after failure of betamethasone.
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تاریخ انتشار 2017