Warthin tumor of parotid gland

Case contributed by Dr Fabio Macori

Presentation

A palpable mass in the left parotid region.

Patient Data

Age: 80 years
Gender: Male
Ultrasound

The ultrasound image shows, within the parotid, an ovoid-shaped, hypoechoic, inhomogeneous lesion with well-defined margins and posterior acoustic enhancement.

CT

Axial CT, pre- and post-intravenous contrast administration, confirms the presence of an ovoid-shape, well-defined, homogeneous lesion, with rapid enhancement located in the left parotid gland.

Case Discussion

Fine-needle aspiration (FNA) demonstrated a lymphomatous papillary cystadenoma, more commonly known as a Warthin tumor.

Warthin tumor is the most common tumor, after pleomorphic adenoma, of the parotid gland. It is more frequent in older patients, especially those with a smoking history, and is characterized by a lack of symptoms with a delay in the presentation. The prognosis is good.

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Case information

rID: 57242
Published: 13th Dec 2017
Last edited: 1st Apr 2018
System: Head & Neck
Inclusion in quiz mode: Included

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