Dergiler / ENT Updates / 2018 / Cilt: 8 - Sayı: 1

Primer olarak servikal lenf nodu tutulumu gösteren bilateral multisentrik Warthin tümörü

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

Muammer Melih ŞAHİN, Mehmet DÜZLÜ, Alper CEYLAN, Erolcan SAYAR

Sayfa
62–65
DOI
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Özet

Papiller kistadenoma lenfomatozum (Warthin tümörü), parotis bezinin ikinci en s›k görülen benign neoplazisidir. Tümör parotis bezi kuyru¤unda, yavafl büyüyen kitle olarak kendini gösterir. S›kl›kla parotis bezinde gözlense de, servikal lenf nodlar› gibi ekstraparotidal tutulumlar da gözlenebilir. Biz de bu çal›flmam›zda atipik yerleflimli bir Warthin tümörü olgusunu sunmay› planlad›k. Sigara içme öyküsü olan 68 yafl›nda erkek hasta bir y›ld›r olan boyunda flifllik flikayeti ile klini¤imize baflvurdu. Fizik muayene ve görüntüleme sonras› servikal lenfadenopati ön tan›s› ile eksizyonel biyopsi yap›ld›. Patoloji sonucu Warthin tümörü olarak raporland›. Befl ay sonra karfl› parotis bezinde multisentrik Warthin tümörü tan›s› kondu ve opere edildi. Bu olgu sunumu ile Warthin tümörlerinin nadiren de olsa ekstraparotidal yerleflimli görülebilece¤ini vurgulamay› ve ilgili literatür verilerini derlemeyi amaçlad›k.

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 rightsided 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.