Images in Otorhinolaryngology
Giant Warthin Tumour
Tumor de Warthin gigante
Marcos Fernández-Barriales
, Maria Fe García-Reija, Ramón C. Saiz-Bustillo
Corresponding author
Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario Marqués de Valdecilla, Santander, Spain
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"apellidos" => "Saiz-Bustillo" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Cirugía Oral y Maxilofacial, Hospital Universitario Marqués de Valdecilla, Santander, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Tumor de Warthin gigante" ] ] "resumenGrafico" => array:2 [ "original" => 0 "multimedia" => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 700 "Ancho" => 575 "Tamanyo" => 84809 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Coronal MRI showing the upper cystic content compared with the lower solid content.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">We report the case of a Warthin's tumour of 15 years’ evolution, which reached a size of 11.5×6.9×4.8<span class="elsevierStyleHsp" style=""></span>cm. After a literature review, we found only one reported case of a Warthin's tumour greater than 10<span class="elsevierStyleHsp" style=""></span>cm in diameter.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Our patient was a 72-year-old male who was referred to the Outpatient Service due to a right, parotid tumour of 15 years’ evolution, asymptomatic with progression. Examination revealed a large tumour in the right parotid region, with cystic consistency in the upper half and solid consistency in the lower half (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>). It was not adhered to the skin or deep layers. The patient did not present motor or sensory alterations due to facial nerve involvement. The intraoral examination was completely normal and the presence of pathological lymphadenopathy at the cervical level was ruled out. The study was completed with MRI (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>). The patient underwent surgery due to suspicion of parotid Warthin's tumour. We carried out a total parotidectomy, conserving the facial nerve (<a class="elsevierStyleCrossRef" href="#fig0015">Fig. 3</a>). The definitive histological diagnosis was lymphomatous papillary cystadenoma (Warthin's tumour).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><elsevierMultimedia ident="fig0015"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Warthin's tumour is a well-defined, benign, salivary gland neoplasm. It is mainly located in the parotid gland in men between 50 and 60 years of age and it appears as a painless mass of slow growth. In cases of lengthy evolution, it can reach a considerable size, with malignant transformation being exceptional. The indication for surgery, although subject to debate, seems reinforced in cases with a long evolution, such as the one presented.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2010-04-12" "fechaAceptado" => "2010-06-02" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara">Please cite this article as: Fernández-Barriales M, et al. Tumor de Warthin gigante. Acta Otorrinolaringol Esp. 2011;62:477-8.</p>" ] ] "multimedia" => array:3 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 648 "Ancho" => 970 "Tamanyo" => 114204 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Giant parotid tumour after 15 years’ evolution.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Figure 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 700 "Ancho" => 575 "Tamanyo" => 84809 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Coronal MRI showing the upper cystic content compared with the lower solid content.</p>" ] ] 2 => array:7 [ "identificador" => "fig0015" "etiqueta" => "Figure 3" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr3.jpeg" "Alto" => 1030 "Ancho" => 1400 "Tamanyo" => 495579 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Surgical specimen.</p>" ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735735/0000006200000006/v1_201304231505/S2173573511000834/v1_201304231505/en/main.assets" "Apartado" => array:4 [ "identificador" => "5869" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in otorhinolaryngology" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735735/0000006200000006/v1_201304231505/S2173573511000834/v1_201304231505/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173573511000834?idApp=UINPBA00004N" ]
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