Kimura's disease is a chronic inflammatory disease which often present
s as a tumor-like swelling in the head and neck region with or without
lymphadenopathy. Most cases have been described predominantly in Chin
ese and Japanese people. The lesion is benign, but it may easily be mi
staken for a malignant tumor. Kimura's disease has been confused with
angiolymphoid hyperplasia with eosinophilia (ALHE), from which it prob
ably should be distinguished as a separate entity. The diagnosis may b
e suggested by a fine needle aspirate, but is established by a biopsy.
The treatment of choice is surgical removal. A case of Kimura's disea
se in a Caucasian male of 12 years' duration is presented together wit
h a brief review of the literature.