Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

WARTHIN'S TUMOUR IN LEFT PAROTID GLAND: REPORT OF TWO CASES

좌측 이하선에 발생한 Warthin's Tumour: 증례보고

  • Suh, Joon-Ho (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental School) ;
  • Lee, Baek-Soo (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental School) ;
  • Kwon, Yong-Dae (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental School) ;
  • Kim, Yeo-Gab (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental School) ;
  • Choi, Byung-Joon (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental School) ;
  • Kim, Young-Ran (Department of Oral and Maxillofacial Surgery, Kyung Hee University Dental School)
  • 서준호 (경희대학교 치과대학 구강악안면외과) ;
  • 이백수 (경희대학교 치과대학 구강악안면외과) ;
  • 권용대 (경희대학교 치과대학 구강악안면외과) ;
  • 김여갑 (경희대학교 치과대학 구강악안면외과) ;
  • 최병준 (경희대학교 치과대학 구강악안면외과) ;
  • 김영란 (경희대학교 치과대학 구강악안면외과)
  • Received : 2009.10.12
  • Accepted : 2010.01.13
  • Published : 2010.03.31
Download PDF
⟨ Previous Next ⟩

Abstract

Warthin's tumour is also known as papillary cystadenoma lymphomatosum or adenolymphoma. This tumour represents 6% of all salivary gland tumour, and is the second most common neoplasm of the salivary gland. It occurs mostly in the parotid gland and in rare instances, it has been reported to occur within the submandibular gland or minor salivary glands. In the past, there was higher incidence in males than females, but more recent investigation shows a more balanced sex predilection. The mean age at diagnosis is 62 years and this tumour is uncommon in a patients younger than age 40. This tumour occurs most frequently in the tail of the parotid gland near the angle of the mandible. Surgical removal is the treatment of choice. But sometimes, parotidectomy is recommended because of its potential for being multifocal.

Keywords

References

  1. Teymoortash A, Krasnewicz Y, Werner JA : Clinical features of cystadenolymphoma (Warthin's tumor) of the parotid gland: a retrospective comparative study of 96 cases. Oral Oncol 42 : 569, 2006. https://doi.org/10.1016/j.oraloncology.2005.10.017
  2. Gorai S, Numata T, Kawada S et al : Malignant lymphoma aIising from heterotopic Warthin's tumor in the neck: case report and review of the literature. Tohoku J Exp Med 212 : 199, 2007. https://doi.org/10.1620/tjem.212.199
  3. Teymoortash A, Werner JA : Tissue that has lost its track: Warthin's tumour. Virchows Arch 446 : 585, 2005. https://doi.org/10.1007/s00428-005-1276-5
  4. Yu GY. Liu XB, Li ZL et al : Smoking and the development of Warthin's tumour of the parotid gland. Br J Oral Maxillofac Surg 36 : 183, 1998. https://doi.org/10.1016/S0266-4356(98)90494-6
  5. Lamelas J, Terry JH, Jr., Alfonso AE : Warthin's tumor: multicentIicity and increasing incidence in women. Am J Surg 154 : 347, 1987. https://doi.org/10.1016/0002-9610(89)90002-0
  6. Peter Klussmann J, Wittekindt C, FloIian Preuss S et al : High risk for bilateral Warthin tumor in heavy smokersreview of 185 cases. Acta Otolaryngol 126 : 1213, 2006. https://doi.org/10.1080/00016480600740605
  7. Lewis PD, Baxter P, Paul Griffiths A et al : Detection of damage to the mitochondIial genome in the oncocytic cells of Warthin's tumour. J Pathol 191 : 274, 2000. https://doi.org/10.1002/1096-9896(2000)9999:9999<::AID-PATH634>3.0.CO;2-U
  8. Yu GY, Ma DQ, Liu XB et al : Local excision of the parotid gland in the treatment of Warthin's tumour. Br J Oral Maxillofac Surg 36 : 186, 1998. https://doi.org/10.1016/S0266-4356(98)90495-8
  9. de Ru JA, van Leeuwen MS, van Benthem PP et al : Do magnetic resonance imaging and ultrasound add anything to the preoperative workup of parotid gland tumors? J Oral Maxillofac Surg 65 : 945, 2007. https://doi.org/10.1016/j.joms.2006.04.046
  10. Howlett DC : High resolution ultrasound assessment of the parotid gland. Br J Radiol 76 : 271, 2003. https://doi.org/10.1259/bjr/33081866
  11. Bartels S, Talbot JM, DiTomasso J et al : The relative value of fine-needle aspiration and imaging in the preoperative evaluation of parotid masses. Head Neck 22 : 781, 2000. https://doi.org/10.1002/1097-0347(200012)22:8<781::AID-HED6>3.0.CO;2-B
  12. Alibek S, Zenk J. Bozzato A et al : The value of dynamic MRI studies in parotid tumors. Acad Radiol 14 : 701, 2007. https://doi.org/10.1016/j.acra.2007.03.004
  13. Howlett DC, Kesse KW, Hughes DV et al : The role of imaging in the evaluation of parotid disease. Clin Radiol 57 : 692, 2002. https://doi.org/10.1053/crad.2001.0865
  14. Yousem DM, Kraut MA, Chalian AA : Major salivary gland imaging. Radiology 216 : 19, 2000.