Papillary cystadenoma lymphomatosum is a benign hamartoma or reactive proliferation of ductal salivary gland cells and lymphoid elements. This entails the risk of a general anaesthetic and those pertaining. Very rarely, warthin s tumor can also mimic malignant or metastatic disease by presenting within cervical. Warthin tumors are the second most common benign tumors of the parotid gland. The mean age of the subjects with warthin s tumor was 59. Warthin s tumor has an excellent prognosis due to the low rate of recurrence after surgical treatment. Ct provides reliable information about the location of the tumor. Warthin s tumor is the second most frequent benign tumor of the parotid gland the first one is pleomorphic adenoma. Warthin tumour is the second most common benign neoplasm of the parotid gland. Warthin tumor is a benign tumor of the salivary gland. A total of 143 96 percent of the warthin s tumors occurred in whites, and six 4 percent occurred in blacks. Warthins tumor represents the 514% of the neoplasias of the parotid and the 25% of the submaxillary ones3. We present a case of an 80yearold caucasian woman, who presented in our ent department because o f a progressive swelling in the left parotid gland.
Twelve patients underwent ct plain scan, of which, 10 received the further enhancement. Warthin s tumor is a relatively rare and generally benign neoformation whose incidence is second only to the pleomorphic adenoma. Unlike pleomorphic adenomas, warthin s tumor presents less than 1% risk of malignant evolution 5. Facial nerve abnormality on parotidectomy for warthin. Warthin tumor is typically tannish brown, often with cystic spaces. Ct and mri findings of parotid warthins tumors springerlink. Although its aggressiveness has not been a concern, surgical resection remains the most common treatment modality. Discussion warthin tumor is a well encapsulated tumor and easily differentiates from adjacent tissues. In 46% of cases warthin s tumors occur bilaterally or two or more. Warthin s tumour papillary cystadenoma lymphomatosum pcl constitutes a minority of salivary gland neoplasms and it is a monomorphic adenoma which primarily involves the parotid gland. On microscopic histopathological analysis, papillae, fibrous capsule, and cystic spaces are characteristic findings of warthin s tumor. All structured data from the file and property namespaces is available under the creative commons cc0 license. Aldred scott warthin, who was the first pathologist to described it.
Bilateral and multifocal warthins tumor of parotid gland. Pdf mucoepidermoid carcinoma in warthin tumor of the. It has a low rate of growth and exhibits malignant transformation in 0. Usual symptoms include swollen salivary gland, lump near the back of the lower jaw, jaw pain, the sensation of pressure, facial nerve paralysis, tinnitus, impaired hearing, an earache, etc. Warthin s tumor arises from salivary gland epithelium, which are secretory cells of the salivary gland. Warthin s tumor is a type of benign tumor of the salivary glands. The definitive diagnosis was adenocarcinoma arising in a warthins tumor. Surgical treatment strategy in warthin tumor of the parotid. The aim of this study was to evaluate the surgical procedure for removal of this tumor. Cresce lentamente como uma massa firme e indolor na bochecha. Large and multiple warthins tumors of bilateral parotid glands. Normally, the parotid gland has glandular cells that make enzymes that help to break down food, as well as tiny ducts lined by epithelial cells that carry those enzymes. Adenocarcinoma arising in a warthins tumor sciencedirect. Warthin s tumor is an adenoma composed of bilayered columnar and basaloid oncocytic epithelium that forms multiple cysts with numerous papillae, accompanied by a proliferation of folliclecontaining lymphoid tissue.
Warthin s tumor is the second most common benign neoplasm of the parotid. Warthins tumor is second only to the pleomorfic adenoma and it usually affects people in their fifties and sixties. Warthin s tumour shows multiple cysts that have numerous papillations covered by bilayered columnar and basaloid oncocytic epithelium. Pdf warthin tumor was first described in the american literature, by aldred warthin, in 1929, the pathologist who named this tumor papillary. The parotid gland is the one most frequently struck by this type of neoplasia 84% figure 1. It is named for pathologist aldred scott warthin, who described two cases in 1929. It is most commonly encountered in male smokers in the fifth to seventh decades of life. The first symptom is usually a painless, slowgrowing bump in front of the ear, on the bottom of the mouth, or under the chin.
Gross appearance of warthin tumor of parotid gland. It is the second most common benign parotid gland tumor and accounts for 4% to 25% of all salivary gland tumors. Mucoepidermoid carcinoma in warthin tumor of the parotid gland article pdf available in archives of medical science 1. It is usually located at the inferior pole of the gland and multicentric occurrence is seen more often with warthin s tumor than with any other salivary gland tumor. Xray, computed tomography ct scan, and magnetic resonance. Warthin tumors may increase in size over time, but few become cancerous. Diagnostic value of mr imaging of parotid gland tumors. This parotidian tumor occurs most often in smokers, in middleaged and older men.
You may purchase original highresolution image without pathpedia logo using our automated system that grants singleuser and multiuser, nonroyaltybased. Multifocal occurrence of warthins tumor in both parotid. They are most common in parotid glands and around 11% of all benign salivary gland tumors. Warthin s tumor is the second most common benign lesion of the parotid gland. Warthin s tumors as well as carcinomas can show the type b curve. Warthins tumor free download as powerpoint presentation. On gross pathology, cystic and multicentric appearance are characteristic findings of warthin s tumor. Type c can be found in high cellularitys pleomorphic adenomas or malignant lesions. Alternative treatments for warthins tumor answers on. That is why surgery is not necessary when the preoperative diagnosis is certain and surgery should be avoided as often as possible because of the risk of.
Reported a case of large, bilateral, multiple warthins tumors of the parotid glands. Large, bilateral warthins tumor of the parotid gland is clinically very rare. Doctor answers on symptoms, diagnosis, treatment, and more. Sixty patients with warthin s tumor in the parotid gland who presented at the kansai medical university hospital from 1990. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126. Department of otolaryngology, head and neck surgery. In addition, this tumor demonstrates areas of degeneration and necrosis yellowish foci. Is warthins tumour of the parotid gland a lymph node. Kamrava on alternative treatments for warthins tumor. Surgical treatment strategy in warthin tumor of the.
Ct and mri findings of 14 patients with pathologicallyconfirmed warthin s tumor 10 males and 4 females were retrospectively analyzed. Warthin s tumor papillary cystadenoma lymphomatosum is a wellknown benign tumor of the parotid gland. Uniquely, among benign lesions of the parotid gland, it can be seen bilaterally in 710% of cases. Warthin tumor genetic and rare diseases information. Any cancer thats not treated with an appropriate scientific modality surgery, radiation, andor chemotherapy as appropriate, will kill you.
Is warthin s tumour of the parotid gland a lymph node disease. Eur rev med pharmacol warthins tumor of parotid gland. For language access assistance, contact the ncats public information officer. Written informed consent was also obtained from the patient who is presented in this paper. A vasoconstrictor was injected, with skin incision and platysma incision done followed by tissue dissection to expose the. This study was a retrospective analysis of 43 cases of parotid tumors. Most of cases are represented by a single localization, while only a small percentage of patients presents bilateral lesions or unilateral multifocal pattern. Surgical procedure for warthins tumor in the parotid gland. Warthin s tumor is benign and exclusively involves the parotid gland but may, however, often show multifocal andor bilateral growth. Warthins tumor, or warthin tumor, is a benign slowgrowing tumor of the parotid gland named for dr.
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