A Case of Warthin Tumor Highlighting the Diagnostic Dilemmas Encountered
Journal of Case Reports in Medical Science, Volume 9, Issue 1,
Page 36-39
DOI:
10.56557/jocrims/2023/v9i18238
Abstract
Introduction: Warthin’s tumour (WT) previously known as papillary cystadeno-lymphomatosum is the most frequent ‘monomorphic’ adenoma of the major salivary glands, representing about 2–15% of all parotid tumours. It is a benign epithelial salivary gland neoplasm affecting elderly individuals and commonly involves the inferior pole of parotid glands. Fine needle aspiration cytology is considered the first diagnostic approach for salivary gland lesions; however, the cytological findings in Warthin tumor can be dubious many a times.
Case Presentation: We present a case of a female in sixth decade of life with left neck swelling which mimicked a necrotic lymph node on imaging and turned out to be Warthin tumor.
Conclusion: In the present paper, we discuss the diagnostic dilemmas faced in a case of warthin tumor.
- Oncocytic
- lymphoid
- cytology
- warthin
How to Cite
References
Alena Skalova ed. World Health Organization Classification of Tumors. Pathology and Genetics of Head and Neck Tumours. IARC Press, Lyon. 2023; 209–281
Kuzenko YV, Romanuk AM, Dyachenko OO, Hudymenko O. Pathogenesis of Warthin's tumors. Interv Med Appl Sci. 2016;8(2):41-48. DOI: 10.1556/1646.8.2016.2.2
Lee DH, Yoon TM, Lee JK, Lim SC. Surgical treatment strategy in warthin tumor of the parotid gland. Braz J Otorhinolaryngol. 2019;85:546-50.
Chen SL, Hwang CC, Liu YC, Chen WT, Yang SW. Warthin's tumor with necrotizing tuberculous granulomatous inflammation causing severe facial nerve adhesion in parotid gland: A case report and literature review. Medicine (Baltimore). 2020;99(7): e18763.
Hellquist H, Paiva-Correia A, Vander Poorten V, et al. Analysis of the clinical relevance of histological classification of benign epithelial salivary gland tumours. Adv Ther. 2019;36(8):1950-1974.
Limaiem F, Jain P. Warthin Tumor. [Updated 2023 Jan 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023. Available:https://www.ncbi.nlm.nih.gov/books /NBK557640/
Köybaşioğlu FF, Önal B, Han Ü, Adabağ A, Şahpaz A. Cytomorphological findings in diagnosis of Warthin tumor. Turk J Med Sci. 2020;50(1):148-154. DOI: 10.3906/sag-1901-215.
Maiorano E, Lo Muzio L, Favia G, Piattelli A. Warthin's tumour: A study of 78 cases with emphasis on bilaterality, multifocality and association with other malignancies. Oral Oncol. 2002;38(1):35-40. DOI: 10.1016/s1368-8375(01)00019-7
Sood N, Borah P. Warthins tumor: Cyto histological spectrum with emphasis on diagnostic difficulties. Diagn Cytopathol. 2018;46(7):613-619. DOI: 10.1002/dc.23896
Balasubiramaniyan V, Sultania M, Sable M, Muduly D, Kar M. Warthin-like mucoepidermoid carcinoma of the parotid gland: A diagnostic and therapeutic dilemma. Autops Case Rep. 2019;9(4): e2019122. DOI:10.4322/acr.2019.122.
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