[伴有中耳积液的鼻咽部占位性病变。恶性还是良性？]

[Nasopharyngeal space-occupying lesion with middle ear effusion. Malignant or benign?].

作者信息

von Laffert M, Arsenic R, Olze H, Dietel M, Uecker F C

机构信息

Institut für Pathologie, Charité-Universitätsmedizin Berlin, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland,

出版信息

Pathologe. 2014 Jul;35(4):379-82. doi: 10.1007/s00292-013-1889-4.

DOI:10.1007/s00292-013-1889-4

PMID:24401934

Abstract

Warthin tumors (cystadenolymphoma, cystadenoma lymphomatosum papilliferum) account for approximately 10-15 % of all benign salivary gland tumors and are bilateral in approximately 10-15 %, as well as extraparotideal in approximately 8 % of cases. Nasopharyngeal Warthin tumors are extremely rare; however they should be borne in mind as a consideration of differential diagnostics. Furthermore, parotid glands and cervical lymph nodes should be examined as associated synchronous or metachronous manifestations are possible. Palpation, sonography and other radiological imaging of the cervical region, if applicable, might be required.

摘要

沃辛瘤（囊性腺淋巴瘤、乳头状囊腺瘤性淋巴瘤）约占所有涎腺良性肿瘤的10%-15%，约10%-15%为双侧发病，约8%的病例发生于腮腺外。鼻咽部沃辛瘤极为罕见；然而，在鉴别诊断时应予以考虑。此外，由于可能存在相关的同步或异时表现，应检查腮腺和颈部淋巴结。如有必要，可能需要对颈部进行触诊、超声检查及其他影像学检查。