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The histological alterations observed in the follicular adenoma are believed to have been caused by injury during the repeated FNA procedures. The histological alterations observed in the follicular adenoma are believed to have been caused by injury during the repeated FNA procedures. Despite timely administration of IVIG, some patients with Kawasaki disease (KD) develop rapidly progressive or giant coronary artery aneurysms (CAA). We describe our experience using cyclophosphamide (CYC) for the treatment of such cases as well as a review