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OTORINOLARINGOLOGIA

A Journal on Otorhinolaryngology, Head and Neck Surgery,
Plastic Reconstructive Surgery, Otoneurosurgery


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Otorinolaringologia 2017 December;67(4):120-2

DOI: 10.23736/S0392-6621.17.02123-3

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Bilateral multifocal synchronous intra- and extra-parotid Warthin tumors: case report and review of literature

Beatrice FABIANO, Giuseppe RIVA , Vittorio FERRERO

ENT Department, Gradenigo Hospital, Turin, Italy


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Warthin tumor is the second most frequent benign tumor of the parotid gland. Multifocal Warthin tumors are rarely bilateral synchronous. Six synchronous bilateral cases with more than two nodules of Warthin tumor have been described in the literature; only three cases had 4 or 5 tumor nodules. None of these had also extra-parotid localizations. We report a rare case of a patient with four bilateral synchronous Warthin tumors of parotid glands and we present a complete review of the literature. A 72-year-old woman presented at our division with a 12 months history of bilateral parotid swelling. Magnetic resonance imaging revealed four bilateral nodular lesions of the parotid glands. Fine-needle aspiration biopsy was indicative of Warthin tumors. The patient underwent surgical treatment. Multifocality should be kept in mind when a Warthin tumor is diagnosed. Therefore, magnetic resonance imaging represent an important tool in the diagnostic algorithm, and an adequate follow-up is mandatory.


KEY WORDS: Adenolymphoma - Parotid gland - Salivary gland neoplasms

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Publication History

Issue published online: October 11, 2017
Manuscript accepted: July 24, 2017
Manuscript received: July 15, 2017

Cite this article as

Fabiano B, Riva G, Ferrero V. Bilateral multifocal synchronous intra- and extra-parotid Warthin tumors: case report and review of literature. Otorinolaringol 2017;67:120-2. DOI: 10.23736/S0392-6621.17.02123-3

Corresponding author e-mail

giuseppe.riva84@gmail.com