Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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A Case of Solitary Warthin's Tumor from Cervical Lymph Node

주침샘의 병변 없이 경부림프절에 발생한 Warthin씨 종양 1예

  • Lee, Young-Su (Department of Otolaryngology-Head and Neck Surgery, Research Institute for Medical Science, Chungnam National University College of Medicine) ;
  • Park, Ji-Su (Department of Otolaryngology-Head and Neck Surgery, Research Institute for Medical Science, Chungnam National University College of Medicine) ;
  • Rha, Ki Sang (Department of Otolaryngology-Head and Neck Surgery, Research Institute for Medical Science, Chungnam National University College of Medicine) ;
  • Koo, Bon Seok (Department of Otolaryngology-Head and Neck Surgery, Research Institute for Medical Science, Chungnam National University College of Medicine) ;
  • Chang, Jae Won (Department of Otolaryngology-Head and Neck Surgery, Research Institute for Medical Science, Chungnam National University College of Medicine)
  • 이용수 (충남대학교 의과대학 이비인후-두경부외과학 교실) ;
  • 박지수 (충남대학교 의과대학 이비인후-두경부외과학 교실) ;
  • 나기상 (충남대학교 의과대학 이비인후-두경부외과학 교실) ;
  • 구본석 (충남대학교 의과대학 이비인후-두경부외과학 교실) ;
  • 장재원 (충남대학교 의과대학 이비인후-두경부외과학 교실)
  • Received : 2015.08.13
  • Accepted : 2015.09.21
  • Published : 2015.11.30
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Abstract

Warthin's tumor is the second most common salivary gland benign tumor, typically occurring in the fifth to seventh decades of life which shows an indolent feature. It is usually found in the parotid gland but occasionally in extra-parotid locations such as peri-parotid lymph node. However, Report of solitary Warthin's tumor in cervical lymph node is unusual. We here report a case of 72-year-old male with simultaneous malignant melanoma on eyelid and cervical lymph node enlargement in cervical level II area thus mimicking malignancy metastasis. After excisional biopsy under the local anesthesia, pathology was reported as papillary cystadenoma lymphomatosum, which is a histologically pathognomic finding of Warthin's tumor. However, there was no suspicious tumorous lesion in major or minor salivary glands. This case suggests that Warthin's tumor should be considered as a possible pathology in solitary lymph node lesion of neck.

Keywords

References

  1. Mistry SG, Gouldesbrough D, Bem C. Multifocal extraparotid Warthin's tumours mimicking metastatic squamous cell carcinoma of the upper neck. J Laryngol Otol. 2015;129(5):513-516. https://doi.org/10.1017/S0022215115000638
  2. Batsakis JG, el-Naggar AK. Warthin's tumor. Ann Otol Rhinol Laryngol. 1990;99(7 Pt 1):588-591. https://doi.org/10.1177/000348949009900719
  3. Cope W, Naugler C, Taylor SM, Trites J, Hart RD, Bullock MJ. The association of warthin tumor with salivary ductal inclusions in intra and periparotid lymph nodes. Head Neck Pathol. 2014;8(1):73-76. https://doi.org/10.1007/s12105-013-0477-5
  4. Scasso CA, Papini M, Eligi C, Ghelardi F, Cagno MC, Bruschini P. An unusual neck mass: the Warthin tumor. Acta Otorhinolaryngol Belg. 1998;52(1):55-57.
  5. Cadili A, McKinnon G, Wright F, Hanna W, MacIntosh E, Abhari Z, et al. Validation of a scoring system to predict nonsentinel lymph node metastasis in melanoma. J Surg Oncol. 2010;101(3):191-194.
  6. Cawson RA, Gleeson MJ, Eveson J. The pathology and surgery of the salivary glands. Isis Medical Media; 1997.
  7. Naujoks C, Sproll C, Singh DD, Heikaus S, Depprich R, Kubler NR, et al. Bilateral multifocal Warthin's tumors in upper neck lymph nodes. Report of a case and brief review of the literature. Head Face Med. 2012;8(11).
  8. Pelucchi S, Bianchini C, Ciorba A, Stomeo F, Ferron A, Pastore A. Simultaneous nasopharyngeal and parotid gland Warthin's tumour: a case report. Acta Otorhinolaryngol Ital. 2015;35(2):129-131.
  9. Astor FC, Hanft KL, Rooney P, Benson CA, Flores T, Lavertu P. Extraparotid Warthin's tumor: Clinical manifestations, challenges, and controversies. Otolaryngol Head Neck Surg. 1996;114(6):732-735. https://doi.org/10.1016/S0194-5998(96)70094-3
  10. Snyderman C, Johnson JT, Barnes EL. Extraparotid Warthin's tumor. Otolaryngol Head Neck Surg. 1986;94(2):169-175. https://doi.org/10.1177/019459988609400207
  11. Hwang JY, Kim SW, Yang SC, Kim CD. Extraparotid Warthin Tumor in Upper Cervical Lymph Node Accompanied by Primary Cervical Tuberculosis. Otolaryngol Head Neck Surg. 2011;144(4):646-647. https://doi.org/10.1177/0194599811398187
  12. Joo YH, Kim JP, Park JJ, Woo SH. Two-phase helical computed tomography study of salivary gland warthin tumors: a radiologic findings and surgical applications. Clin Exp Otorhinolaryngol. 2014;7(3):216-221. https://doi.org/10.3342/ceo.2014.7.3.216
  13. Lee Y, Wong K, King A, Ahuja A. Imaging of salivary gland tumours. European Journal of Radiology. 2008;66(3):419-436. https://doi.org/10.1016/j.ejrad.2008.01.027
  14. Ikeda M, Motoori K, Hanazawa T, Nagai Y, Yamamoto S, Ueda T, et al. Warthin tumor of the parotid gland: diagnostic value of MR imaging with histopathologic correlation. AJNR Am J Neuroradiol. 2004;25(7):1256-1262.