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Papillary cystoadenoma lymphomatosum (Warthin-like) of minor salivary glands
Párraga Linares, Laura; Aguirre Urízar, José María; Berini Aytés, Leonardo; Gay Escoda, Cosme
Universitat de Barcelona
Papillary cystadenoma lymphomatosum is a benign salivary gland tumor most frequently located in the parotid gland (Warthin"s tumor). Its presentation in other major, or in minor, salivary glands is rare. Clinically, it manifests as a slow growing tumor, fluctuant on palpation due to its cystic morphology. The treatment of choice is complete excision with wide tumor-free margins. We present a 73-year-old female patient with an asymptomatic tumor of 8 years evolution in the right posterior area of the hard palate. We performed surgical excision and a biopsy, which was reported as papillary cystadenoma lymphomatosum. During the post-operative examination carried out after 3 weeks, it was observed that the lesion had recurred. The lesion was re-operated, performing the excision with CO2 laser and including the periosteum to ensure complete resection of the tumor. At 10 months follow-up, there was no recurrence of the lesion. This article includes a review of this condition and discusses its most important clinical and pathologic features and therapeutic approaches.
Malalties de les glàndules salivals
Parotid glands
Salivary gland diseases
(c) Medicina Oral SL, 2009
Medicina Oral SL

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