A Case of Warthin Tumor Highlighting the Diagnostic Dilemmas Encountered

Gita Gangadharan Shrivastav, H. Aiyer, Garima Rawat
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Abstract

Introduction: Warthin’s tumour (WT) previously known as papillary cystadeno-lymphomatosum is the most frequent ‘monomorphic’ adenoma of the major salivary glands, representing about 2–15% of all parotid tumours. It is a benign epithelial salivary gland neoplasm affecting elderly individuals and commonly involves the inferior pole of parotid glands. Fine needle aspiration cytology is considered the first diagnostic approach for salivary gland lesions; however, the cytological findings in Warthin tumor can be dubious many a times. Case Presentation: We present a case of a female in sixth decade of life with left neck swelling which mimicked a necrotic lymph node on imaging and turned out to be Warthin tumor. Conclusion: In the present paper, we discuss the diagnostic dilemmas faced in a case of warthin tumor.
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沃辛肿瘤1例:诊断困境
Warthin肿瘤(WT)以前被称为乳头状囊腺淋巴瘤,是主要唾液腺最常见的“单形态”腺瘤,约占所有腮腺肿瘤的2-15%。它是一种影响老年人的良性上皮性唾液腺肿瘤,通常累及腮腺的下极。细针抽吸细胞学被认为是唾液腺病变的第一诊断方法;然而,Warthin瘤的细胞学检查结果常常令人怀疑。病例介绍:我们报告一位60多岁的女性,左颈部肿大,影像学上表现为坏死淋巴结,结果证实为沃辛瘤。结论:本文讨论了一例warthin肿瘤的诊断困境。
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