Suwała Paweł, Wilczyński Krzysztof, Barnaś Szczepan, Prudlak Edmund
Oddział Otolaryngologiczny, 4 Wojskowego Szpitala Klinicznego we Wrocławiu.
Otolaryngol Pol. 2009 Sep;63(7):89-92. doi: 10.1016/S0030-6657(09)70198-2.
The authors present unusually rare case primary multiple synchronicus benign tumor of the ipsilateral parotid gland: oncocytoma and Warthin's tumor, which is rare among occasionally occurred multiple tumors with different histology in the salivary glands.
A 71-year-old man presented with the tumor in the right parotid gland. We performed excision of the superficial lobe of the parotid gland. The preoperative ultrasonography and macroscopic analysis of the removed parotid gland tissue revealed only one tumor recognised histopathologically as adenolimphoma, but upon histopathological examination Warthin's tumor proved to coexist with oncocytoma.
In the ultrasonography examination some salivary glands tumors may not be recognised. The histopathological examination is the ultimate method in recognising tumors, which are not detected in the preoperative diagnosis. The superficial parotidectomy protects from the recrudescence of the superficial lobe of the parotid gland tumors. The coexistence of the oncocytoma and Warthin's in one parotid gland is extremely rare. Only a few cases were described in the English literature and in the available Polish literature there is none of such reports.
作者介绍了一例同侧腮腺原发性多发性同步性良性肿瘤的罕见病例：嗜酸细胞瘤和沃辛瘤，这在唾液腺偶尔出现的具有不同组织学类型的多发性肿瘤中较为罕见。
一名71岁男性患者右侧腮腺出现肿瘤。我们对腮腺浅叶进行了切除。术前超声检查及对切除的腮腺组织进行大体分析，仅发现一个组织病理学诊断为腺淋巴瘤的肿瘤，但组织病理学检查显示沃辛瘤与嗜酸细胞瘤并存。
在超声检查中，一些唾液腺肿瘤可能无法被识别。组织病理学检查是识别术前诊断未发现的肿瘤的最终方法。腮腺浅叶切除术可防止腮腺浅叶肿瘤复发。嗜酸细胞瘤和沃辛瘤在一个腮腺中共存极为罕见。英文文献中仅描述了少数病例，而在现有的波兰文献中尚无此类报道。
