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Poorly differentiated carcinoma arising from adenolymphoma of the parotid gland.

Ferrero S, Cattaneo L, Peri A, Braidotti P, Cioffi U, Scaramellini G, Ciulla MM, De Simone M, Arizzi C, Pignataro L - BMC Surg (2003)

Bottom Line: There is only one previous case report of a poorly differentiated carcinoma arising from an adenolymphoma of the parotid gland (Warthin's tumour).The absence of clinical symptoms, and the aspecificity of the radiological pattern make the diagnosis very difficult.We here report the case of a 73-year-old man with Warthin's tumour who was brought to our attention because of a swelling in the parotid region.

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Affiliation: Pathology Unit, Azienda Ospedaliera S. Paolo and Ospedale Maggiore di Milano, University of Milan, Milan, Italy. stefano.ferrero@unimi.it

ABSTRACT

Background: There is only one previous case report of a poorly differentiated carcinoma arising from an adenolymphoma of the parotid gland (Warthin's tumour). The absence of clinical symptoms, and the aspecificity of the radiological pattern make the diagnosis very difficult.

Case presentation: We here report the case of a 73-year-old man with Warthin's tumour who was brought to our attention because of a swelling in the parotid region.

Conclusions: In this case with an atypical clinical presentation, the intra-operative examination of a frozen section of the parotid mass allowed us to diagnose the malignant tumour correctly and consequently undertake its radical excision.

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Related in: MedlinePlus

An axial computed tomography scan with contrast medium showing a 3.4 × 2.5 cm mass on the right parotid gland (arrows).
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Figure 1: An axial computed tomography scan with contrast medium showing a 3.4 × 2.5 cm mass on the right parotid gland (arrows).

Mentions: Three weeks before, the patient had undergone an ultrasound (US) examination of the neck and salivary glands, and a fine-needle aspiration biopsy revealed a mass on the superficial lobe of the parotid. The biopsy specimen suggested Warthin's tumour, but was negative for malignant cells. The computed tomography (CT) scan made using intravenous contrast medium confirmed the presence of a 3.4 × 2.5 cm mass on the right parotid gland. No pathological lymph nodes were identified (Fig. 1).


Poorly differentiated carcinoma arising from adenolymphoma of the parotid gland.

Ferrero S, Cattaneo L, Peri A, Braidotti P, Cioffi U, Scaramellini G, Ciulla MM, De Simone M, Arizzi C, Pignataro L - BMC Surg (2003)

An axial computed tomography scan with contrast medium showing a 3.4 × 2.5 cm mass on the right parotid gland (arrows).
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC149357&req=5

Figure 1: An axial computed tomography scan with contrast medium showing a 3.4 × 2.5 cm mass on the right parotid gland (arrows).
Mentions: Three weeks before, the patient had undergone an ultrasound (US) examination of the neck and salivary glands, and a fine-needle aspiration biopsy revealed a mass on the superficial lobe of the parotid. The biopsy specimen suggested Warthin's tumour, but was negative for malignant cells. The computed tomography (CT) scan made using intravenous contrast medium confirmed the presence of a 3.4 × 2.5 cm mass on the right parotid gland. No pathological lymph nodes were identified (Fig. 1).

Bottom Line: There is only one previous case report of a poorly differentiated carcinoma arising from an adenolymphoma of the parotid gland (Warthin's tumour).The absence of clinical symptoms, and the aspecificity of the radiological pattern make the diagnosis very difficult.We here report the case of a 73-year-old man with Warthin's tumour who was brought to our attention because of a swelling in the parotid region.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pathology Unit, Azienda Ospedaliera S. Paolo and Ospedale Maggiore di Milano, University of Milan, Milan, Italy. stefano.ferrero@unimi.it

ABSTRACT

Background: There is only one previous case report of a poorly differentiated carcinoma arising from an adenolymphoma of the parotid gland (Warthin's tumour). The absence of clinical symptoms, and the aspecificity of the radiological pattern make the diagnosis very difficult.

Case presentation: We here report the case of a 73-year-old man with Warthin's tumour who was brought to our attention because of a swelling in the parotid region.

Conclusions: In this case with an atypical clinical presentation, the intra-operative examination of a frozen section of the parotid mass allowed us to diagnose the malignant tumour correctly and consequently undertake its radical excision.

Show MeSH
Related in: MedlinePlus