Bilateral and multicentric Warthin's tumor primarily presented with cervical lymph node involvement

Year 2018, Volume: 8 Issue: 1, 62 - 65, 05.04.2018

Muammer Şahin Alper Ceylan Mehmet Düzlü Erolcan Sayar

Abstract

Papillary cystadenoma lymphomatosis (Warthin's tumor) is the second most
common benign neoplasm of the parotid gland. Although the tumor usually
presents as a slowly growing mass in the tail of the parotid gland,
extraparotid involvements such as the cervical lymph nodes may be
observed rarely. In this article, we aimed to report a Warthin's tumor
case with atypical presentation. A 68-year-old male patient with the
history of smoking was admitted to our clinic with the complaint of
right-sided neck lump. After physical examination and imaging,
excisional biopsy was performed with an initial diagnosis of cervical
lymphadenopathy. Pathology result was reported as Warthin's tumor. Five
months later, multicentric Warthin's tumor in the contralateral parotid
gland was diagnosed and operated. With this case report, we want to
emphasize that Warthin's tumors may rarely present as a neck lump
outside the parotid gland, and we want to review relevant literature
data.

Keywords

Warthin's tumor, cervical lymph node, papillary cystadenoma lymphomatosum, extraparotid

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