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Extraparotid Warthin's tumor presented as a neck mass
Mao-Che Wang1, Tung-Lung Tsai, Paul Chih-Hsueh Chen
1Department of Otolaryngology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Journal of the Chinese Medical Association : JCMA
|March 16, 2004
Summary
Warthin's tumor, a benign salivary gland neoplasm, rarely occurs outside major salivary glands. This case highlights an unusual extraparotid Warthin's tumor in the neck, emphasizing its diverse presentations.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Surgical Pathology
Background:
- Warthin's tumor is a benign neoplastic proliferation of salivary gland origin.
- It predominantly affects the parotid gland, with a strong predilection for older males.
- Extraparotid occurrences are exceptionally rare, posing diagnostic challenges.
Observation:
- A 65-year-old male presented with a palpable, movable neck mass.
- Imaging revealed a distinct soft tissue mass in the left upper neck, separate from major salivary glands.
- Endoscopic examination ruled out malignancy in the head and neck region.
Findings:
- Histopathological analysis confirmed the diagnosis of Warthin's tumor.
- The tumor's location was confirmed as extraparotid, specifically in the jugular-digastric region.
- Complete surgical excision was achieved via a transverse neck incision.
Implications:
- This case underscores the importance of considering Warthin's tumor in the differential diagnosis of neck masses, even with extraparotid locations.
- It highlights the need for thorough histopathological examination for accurate diagnosis.
- Understanding rare presentations aids in surgical planning and patient management for salivary gland tumors.