Vol. 6 (01) pp. 1425-1429 DOI: 10.21474/IJAR01/6368

RECURRENT WARTHIN TUMOR PRESENTING WITH SYNCHRONOUS, BILATERAL PAROTID AND MULTI-CENTRIC UPPER NECK INVOLVEMENT.

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  • ORL, HNS consultant, King Fahad armed forces hospital, Jeddah.
  • ENT, head and neck surgery resident, King Fahad armed forces hospital, Jeddah.
  • ORL, HNS specialist, King Fahad armed forces hospital, Jeddah.
  • Department of ENT, King Fahad Armed Forces Hospital, Jeddah 23434 - 4031 Saudi Arabia.
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Abstract

Background: Warthin tumor is the second most common benign salivary tumor. This case highlights a patient who underwent local excision of a solitary Warthin tumor from the peri-parotid area. He subsequently presented with recurrent, multi-centric disease with bilateral parotid and cervical lymph node involvement. Case Report: A 45 year old, tobacco-using male was referred for a right head and neck mass. Exam revealed a mobile, painless mass near the angle of the jaw. Nasofibroscopic exam revealed a non-obstructive nasopharyngeal mass. CT confirmed an ovoid mass inferior to the right parotid gland. Fine-needle aspiration (FNA) was non-diagnostic. Deep biopsies and local excision of the right neck mass were performed. Nasopharyngeal biopsies were negative; the neck mass was consistent with Warthin tumor. The patient returned approximately 4 years later with a right pre-auricular mass and right upper neck lymphadenopathy. Diagnostic work-up, including ultrasound-guided FNA, revealed bilateral parotid gland Warthin tumor. The patient was symptomatic from the right-sided disease and not the left. Consequently, he elected right parotidectomy and excision of the right upper neck lymph nodes and clinical follow-up of the left mass. Upon pathologic review, there was Warthin tumor present in the parotidectomy and right lymph node specimens.

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How to Cite This Article

Abdullah Mohammed Ghafouri, Mustafa Abdullah Aqeel, Shehab Abdulkareem Abu safia, Wafaa Abdullah Magboul, Suzan alzaidi and Mohammed alessa. (2018); RECURRENT WARTHIN TUMOR PRESENTING WITH SYNCHRONOUS, BILATERAL PAROTID AND MULTI-CENTRIC UPPER NECK INVOLVEMENT., Int. J. of Adv. Res., 6 (01), 1425-1429, ISSN 2320-5407. DOI: https://doi.org/10.21474/IJAR01/6368

Corresponding Author

Abdullah Mohammed Ghafouri
Department of ENT, King Fahad Armed Forces Hospital
Creative Commons Attribution 4.0 This work is licensed under a Creative Commons Attribution 4.0 International License.