What Is the Treatment for a Warthin's Tumor?

Adenolymphoma is also called papillary lymphocystic adenoma or Warthin tumor. Adenolymphomas occur mostly in the parotid gland, which is unique to adenolymphomas. May be related to its organizational source. A common site that occurs in the parotid gland is the posterior surface of the parotid gland and its lower pole. Adenolymphomas can occur at any age, but the predominant age is 40 to 70 years, which is rare in children. It mainly affects men.

Basic Information

nickname
Papillary lymphadenoma or Warthin tumor
English name
adenolymphoma
Visiting department
Oncology
Multiple groups
40 to 70 year old men
Common locations
Parotid gland
Common symptoms
Local painless mass

Adenolymphoma clinical manifestations

Most patients found a local painless mass with a round, oval shape and a smooth surface. The tumors were soft and flexible in most cases and cystic in a few cases. The boundary is clear, movable, and there is no adhesion to the skin. Generally, the tumor does not exceed 6cm. In a few cases, the lumps have fluctuating or tenderness. Generally no dysfunction.

Adenoma

1. Parotid angiography showed benign space-occupying lesions, the main duct flexed or remained unchanged, the branch ducts were arranged disorderly, twisted, irregularly expanded or narrowed, and the acinar filling defect was more regular.
2. Isotope 99m scan is specific for the diagnosis and differential diagnosis of adenolymphoma. Because adenolymphomas are composed of epithelial cells and lymphoid tissues, well-differentiated epithelial cells form a lumen-like structure and may retain their normal aggregation mechanism. Epithelial cells contain a large number of mitochondria. The tumor can take up perrhenate, its level is higher than normal parotid tissue, and the scan shows "hot" nodules.
3. The diagnosis depends on histopathological examination.

Adenolymphoma diagnosis

According to detailed medical history and clinical examination, preoperative diagnosis is generally not difficult.

Adenolymphoma differential diagnosis

It should be distinguished from other tumors of the parotid gland, parotid cysts, and enlarged lymph nodes. Parotid angiography and isotope examinations help diagnosis.

Adenolymphoma Treatment

The only treatment for adenolymphoma is surgical resection. However, there are continuous reports of recurrent cases, which may be related to the characteristics of multiple tumors.

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