Surgical treatment strategy in warthin tumor of the parotid. Warthin tumor is typically tannish brown, often with cystic spaces. Surgical treatment strategy in warthin tumor of the. 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. This entails the risk of a general anaesthetic and those pertaining. Xray, computed tomography ct scan, and magnetic resonance. Any cancer thats not treated with an appropriate scientific modality surgery, radiation, andor chemotherapy as appropriate, will kill you. Files are available under licenses specified on their description page. Warthin s tumor papillary cystadenoma lymphomatosum is a wellknown benign tumor of the parotid gland.
Warthin s tumor is the second most frequent benign tumor of the parotid gland the first one is pleomorphic adenoma. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126. Cresce lentamente como uma massa firme e indolor na bochecha. Current controversies in the management of warthin tumour. It is the second most common benign parotid gland tumor and accounts for 4% to 25% of all salivary gland tumors. The parotid gland is the one most frequently struck by this type of neoplasia 84% figure 1. Warthin s tumors as well as carcinomas can show the type b curve. 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. Cigarette smoking and warthins tumor semantic scholar. Kamrava on alternative treatments for warthins tumor. For language access assistance, contact the ncats public information officer. Mucoepidermoid carcinoma in warthin tumor of the parotid gland article pdf available in archives of medical science 1. Very rarely, warthin s tumor can also mimic malignant or metastatic disease by presenting within cervical.
Sixty patients with warthin s tumor in the parotid gland who presented at the kansai medical university hospital from 1990. Warthin s tumor is a relatively rare and generally benign neoformation whose incidence is second only to the pleomorphic adenoma. Warthin tumor is a benign tumor of the salivary gland. Warthins tumor corresponds to the cystic part of the specimen.
Pdf warthin tumor was first described in the american literature, by aldred warthin, in 1929, the pathologist who named this tumor papillary. Warthins tumor is second only to the pleomorfic adenoma and it usually affects people in their fifties and sixties. Warthins tumor, or warthin tumor, is a benign slowgrowing tumor of the parotid gland named for dr. Is warthin s tumour of the parotid gland a lymph node disease. Eur rev med pharmacol warthins tumor of parotid gland. The mean age of the subjects with warthin s tumor was 59. Warthin s tumor arises from salivary gland epithelium, which are secretory cells of the salivary gland. 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. The first symptom is usually a painless, slowgrowing bump in front of the ear, on the bottom of the mouth, or under the chin. Alternative treatments for warthins tumor answers on. Warthin s tumor is benign and exclusively involves the parotid gland but may, however, often show multifocal andor bilateral growth. Aldred scott warthin, who was the first pathologist to described it.
The presence of multiple large cystic spaces is characteristic of this lesion. Large, bilateral warthins tumor of the parotid gland is clinically very rare. Large and multiple warthins tumors of bilateral parotid glands. Reported a case of large, bilateral, multiple warthins tumors of the parotid glands. Is warthins tumour of the parotid gland a lymph node. Pdf mucoepidermoid carcinoma in warthin tumor of the. A vasoconstrictor was injected, with skin incision and platysma incision done followed by tissue dissection to expose the. Warthin tumors may increase in size over time, but few become cancerous. Warthin tumor genetic and rare diseases information. They are most common in parotid glands and around 11% of all benign salivary gland tumors. Most of cases are represented by a single localization, while only a small percentage of patients presents bilateral lesions or unilateral multifocal pattern.
Ct and mri findings of 14 patients with pathologicallyconfirmed warthin s tumor 10 males and 4 females were retrospectively analyzed. If you have problems viewing pdf files, download the latest version of adobe reader. Ct and mri findings of parotid warthins tumors springerlink. You may purchase original highresolution image without pathpedia logo using our automated system that grants singleuser and multiuser, nonroyaltybased. Surgical procedure for warthins tumor in the parotid gland. Warthin s tumor, also known as papillary cystadenoma lymphomatosum, is a benign cystic tumor of the salivary glands containing abundant lymphocytes and germinal centers lymph nodelike stroma. Multifocal occurrence of warthins tumor in both parotid. On microscopic histopathological analysis, papillae, fibrous capsule, and cystic spaces are characteristic findings of warthin s tumor. 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 tumour is the second most common benign neoplasm of the parotid gland. In 46% of cases warthin s tumors occur bilaterally or two or more.
In addition, this tumor demonstrates areas of degeneration and necrosis yellowish foci. Discussion warthin tumor is a well encapsulated tumor and easily differentiates from adjacent tissues. A total of 143 96 percent of the warthin s tumors occurred in whites, and six 4 percent occurred in blacks. Gross appearance of warthin tumor of parotid gland. Warthin s tumor is the second most common benign lesion of the parotid gland. This parotidian tumor occurs most often in smokers, in middleaged and older men. Type c can be found in high cellularitys pleomorphic adenomas or malignant lesions. Warthin s tumor has an excellent prognosis due to the low rate of recurrence after surgical treatment. 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. The aim of this study was to evaluate the surgical procedure for removal of this tumor. 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.
Bilateral and multifocal warthins tumor of parotid gland. Adenocarcinoma arising in a warthins tumor sciencedirect. On gross pathology, cystic and multicentric appearance are characteristic findings of warthin s tumor. Uniquely, among benign lesions of the parotid gland, it can be seen bilaterally in 710% of cases. Warthins tumor represents the 514% of the neoplasias of the parotid and the 25% of the submaxillary ones3.
Warthin s tumour shows multiple cysts that have numerous papillations covered by bilayered columnar and basaloid oncocytic epithelium. Although its aggressiveness has not been a concern, surgical resection remains the most common treatment modality. Warthin s tumor is the second most common benign neoplasm of the parotid. Warthin tumors are the second most common benign tumors of the parotid gland. It is most commonly encountered in male smokers in the fifth to seventh decades of life. Department of otolaryngology, head and neck surgery. All structured data from the file and property namespaces is available under the creative commons cc0 license. Diagnostic value of mr imaging of parotid gland tumors. Doctor answers on symptoms, diagnosis, treatment, and more.
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