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An unusual neck mass: the Warthin tumor
C A Scasso1, M Papini, C Eligi
1Dept. of Otorhinolaryngology, University of Pisa, Italy.
Acta Oto-Rhino-Laryngologica Belgica
|May 15, 1998
Summary
Warthin's tumor, a benign salivary gland lesion, can present as an isolated neck mass. This case highlights the importance of considering Warthin's tumor in differential diagnoses for neck masses.
Area of Science:
- Otolaryngology
- Surgical Pathology
- Oncology
Background:
- Warthin's tumor (cystoadenolymphoma) is a benign salivary gland neoplasm, predominantly affecting the parotid gland.
- Differential diagnosis of neck masses includes various benign and malignant conditions, requiring accurate identification.
- Extraparotid presentations of Warthin's tumor are less common but clinically significant.
Observation:
- A 62-year-old male presented with an asymptomatic right neck mass.
- Initial echography suggested a lymphoproliferative process due to the mass's lymphoid appearance.
- The mass was located 2 cm below the mandible, near the sternocleidomastoid muscle's anterior margin.
Findings:
- Histologic examination of the surgical specimen confirmed the diagnosis of Warthin's tumor.
- The case underscores the necessity of including Warthin's tumor in the differential diagnosis of isolated neck masses.
- A ten-year surgical management experience of neck masses is reviewed, with a focus on Warthin's tumor.
Implications:
- Accurate diagnosis of neck masses is crucial for appropriate patient management and surgical planning.
- Warthin's tumor should be considered in the differential diagnosis of neck masses, even in extraparotid locations.
- This case contributes to the understanding of Warthin's tumor presentation and management, particularly in extraparotid sites.