Artikel
Ectopic Warthin’s tumor presented as a neck mass
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Veröffentlicht: | 24. April 2007 |
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Introduction: Warthin's tumor is the second most common salivary gland tumour preceded only by pleomorphic adenoma. In most cases it involves the parotid gland. It can also arise in ectopic salivary tissue in the latero-cervical lymph nodes or other unusual sites like nasopharynx, larynx, and paranasal sinuses.
Case report: We present a case of a 60 year old man with a 6 months history of a smooth, mobile neck mass of the right side. Computed tomography scan showed a cystic lesion in the right upper neck without connection with the major salivary glands (6 x 4 x 3 cm). Complete surgical excision with a transverse neck incision was performed. Histological findings of the specimen revealed Warthin's tumor.
Conclusion: This neoplasm should always be included in the differential diagnosis of cystic lesions of the neck, as 8% of Warthin's tumors are presented in extraparotid location mainly as neck masses. Surgeons should always consider the potential malignant transformation of the tumor.