Multifocal synchronous ipsilateral Warthin tumors: case report and review of the literature.
We report a case of a 73-year-old woman who presented with an enlarging superficial parotid mass, a concomitant ipsilateral deep-lobe parotid mass, and associated upper jugular lymphadenopathy. The clinical presentation and radiographic imaging were suggestive of malignancy, and the patient was treated with total parotidectomy with upper jugular lymph node sampling. Pathologic examination revealed two distinct masses, one in the superficial lobe and one in the deep lobe of the parotid gland, both consistent with synchronous Warthin tumors. Analysis of the upper jugular lymph nodes was consistent with reactive lymphoid hyperplasia. Although the true incidence of multicentricity in ipsilateral Warthin tumors may be underappreciated and underreported, this entity should remain in the differential diagnosis for unilateral parotid masses.
Hall
Joseph E
JE
Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati, University Hospital, Cincinnati, OH 45267, USA.
Statham
Melissa McCarty
MM
Sheridan
Rachel M
RM
Wilson
Keith M
KM
D000235:Adenolymphoma / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008206:Lymphatic Diseases / Q000150:complications*; D009378:Neoplasms, Multiple Primary / Q000150:complications* / Q000175:diagnosis*; D010306:Parotid Gland / Q000000981:diagnostic imaging / Q000473:pathology; D010307:Parotid Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed