Liang C-H, DI W-Y, Ren J-P, Zhou F-M, Hu Y, Mao H-J, Han D-M
Department of Radiology, the First Affiliated Hospital of Xinxiang Medical University, Weihui, Henan, China.
Eur Rev Med Pharmacol Sci. 2014;18(23):3638-44.
Adenolymphoma (Warthin's tumor) is a common salivary gland benign tumors with poor diagnosis and ranking second after the parotid tumors. Presently, a rising tendency of the incidence of adenolymphoma has been noted. The aim of this study was to investigate the clinical, pathological and imaging features of this tumor.
24 cases of confirmed adenolymphoma were retrospectively analyzed with clinical features, pathological data and CT imaging.
Among 24 cases, 22 (91.7%) patients were male, two patients were female, 23 (95.8%) patients were more than 50 years old; 38 lesions were found in 24 patients including isolated lesions in 16 patients (66.7%), and multiple lesions in 8 patients (33.3%). 81.6% adenolymphoma lesions (31/38) were located in the posterior and inferior quadrant. The shapes of lesions were more oval or round, well-circumscribed, homogeneous (n=26) or inhomogeneous (n=12) with high density. 27 lesions were demonstrated with enhancement after contrast enhancement and 10 lesions showed small vessels penetrating through or surrounding the mass.
Adenolymphoma of the parotid (Warthin tumor) should be first considered by the clinical data including age, gender, location and imaging manifestations of the lesions.
腺淋巴瘤（沃辛瘤）是常见的涎腺良性肿瘤，诊断困难，发病率仅次于腮腺肿瘤。目前，腺淋巴瘤的发病率呈上升趋势。本研究旨在探讨该肿瘤的临床、病理及影像学特征。
回顾性分析24例确诊的腺淋巴瘤患者的临床特征、病理资料及CT影像。
24例患者中，男性22例（91.7%），女性2例；年龄大于50岁者23例（95.8%）。24例患者共发现38个病灶，其中16例（66.7%）为孤立病灶，8例（33.3%）为多发病灶。81.6%（31/38）的腺淋巴瘤病灶位于腮腺后下象限。病灶形态多为椭圆形或圆形，边界清晰，密度均匀（n = 26）或不均匀（n = 12），密度较高。增强扫描后27个病灶有强化，10个病灶可见小血管穿入或包绕肿块。
腮腺腺淋巴瘤（沃辛瘤）的诊断应首先结合患者的年龄、性别、病灶部位及影像学表现等临床资料进行考虑。
