Papillary cystoadenoma lymphomatosum (Warthin-like) of minor salivary glands.
Papillary cystadenoma lymphomatosum is a benign salivary gland tumor most frequently located in the parotid gland (Warthin's tumor). Its presentation in other major, or in minor, salivary glands is rare. Clinically, it manifests as a slow growing tumor, fluctuant on palpation due to its cystic morphology. The treatment of choice is complete excision with wide tumor-free margins. We present a 73-year-old female patient with an asymptomatic tumor of 8 years evolution in the right posterior area of the hard palate. We performed surgical excision and a biopsy, which was reported as papillary cystadenoma lymphomatosum. During the post-operative examination carried out after 3 weeks, it was observed that the lesion had recurred. The lesion was re-operated, performing the excision with CO2 laser and including the periosteum to ensure complete resection of the tumor. At 10 months follow-up, there was no recurrence of the lesion. This article includes a review of this condition and discusses its most important clinical and pathologic features and therapeutic approaches.
Párraga-Linares
Laura
L
Oral Surgery and Implantology, Barcelona University Dental School, Barcelona, Spain.
Aguirre-Urízar
Jose-María
JM
Berini-Aytés
Leonardo
L
Gay-Escoda
Cosme
C
D000235:Adenolymphoma / Q000473:pathology*; D000368:Aged; D005260:Female; D006801:Humans; D012468:Salivary Gland Neoplasms / Q000473:pathology*; D012470:Salivary Glands, Minor / Q000473:pathology*