A Clinical Study of the Warthin's Tumor of the Salivary Gland.
10.3342/kjorl-hns.2011.54.3.213
- Author:
Sangho LIM
1
;
Sunho RYU
;
Kyengsuk LEE
;
Byungeon HWANG
;
Eun Jung LEE
;
Ki Hwan HONG
;
Yunsu YANG
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Chonbuk National University Medical School, Jeonju, Korea. yang2002@chonbuk.ac.kr
- Publication Type:Original Article
- Keywords:
Warthin's tumor;
Lumpectomy;
Parotid gland
- MeSH:
Facial Nerve;
Facial Paralysis;
Female;
Humans;
Imidazoles;
Male;
Mastectomy, Segmental;
Medical Records;
Nitro Compounds;
Paralysis;
Parotid Gland;
Postoperative Complications;
Recurrence;
Salivary Glands;
Treatment Outcome
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2011;54(3):213-216
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND AND OBJECTIVES: The aim of this study was to define the clinical characteristics and treatment outcome of the salivary Warthin's tumor in order to work out a therapeutic strategy. SUBJECTS AND METHOD: The medical records of 64 patients who underwent surgery and were pathologically diagnosed with Warthin's tumor at our department from January 1997 to December 2009 were reviewed retrospectively. RESULTS: There were 60 (94%) males and 4 (6%) females with an overall male-to-female ratio of 15 : 1. The average age was 59.8+/-9.2 years (range from 35 to 78). All tumors were found in the parotid gland. Of the 66 tumors, 31 (48%) occurred in the right side, 28 (44%) tumors occurred in left side, and 5 (8%) tumors occurred in bilaterally. A superficial parotidectomy was performed in 38 (59%) patients, lumpectomy in 25 (39%) patients and bilateral lumpectomy in one patient. There were 18 (28%) postoperative complications. The most common complication was transient facial palsy that occurred in 11 (17%) patients. Recurrence occurred in 2 (3%) patients, oneipsilaterally and the other contralaterally. All recurrences were found in patients who underwent superficial parotidectomy. CONCLUSION: Warthin's tumor has a very low recurrence rate with a benign nature. The study shows that lumpectomy is an effective surgical treatment for Warthin's tumor with an advantage of reducing facial nerve palsy and recurrence rate.
