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上唇沃辛瘤的偶然发现。

Incidental finding of upper lip Warthin tumor.

作者信息

Petrocelli Marzia, Sbordone Carolina, Salzano Giovanni, Orabona Giovanni Dell'Aversana, Cassandro Francesco Maria, Fusetti Stefano, Califano Luigi, Cassandro Ettore

出版信息

Ann Ital Chir. 2017 Nov 14;6:S2239253X17027578.

PMID:29134953
Abstract

AIM

This report shows an incidental finding of Warthin tumor in upper lip mucosa during hospitalization for a biting lesion of cheek mucosa MATERIALS AND METHODS: A 32-year-old male affected by a biting lesion of cheek mucosa was presented at Maxillo- Facial Unit of Federico II University. Clinical examination showed as an incidental finding a solid mass in the superficial layer of upper lip mucosa. We performed mini-invasive surgical treatment to obtain a radical excision of the cheek lesion at the same time as excision of Warthin tumor.

RESULTS

a follow up of 12 months was performed. The complete healing of the two wounds was achieved, with no recurrence of any of the pathologies.

DISCUSSION

The location of this Warthin tumor of minor salivary glands is very unusual. The role of imaging in diagnosis of Warthin tumor of minor salivary glands is to define localization, shape and dimension, contour, malignant features, nodal involvement. The role of fine needle aspiration cytology (FNAC) is critical in the diagnosis and therapy of minor salivary gland tumors. The surgical treatment in patients affected by Warthin tumour of minor salivary glands is local excision with a wide tumor free margin to prevent potential recurrence.

CONCLUSIONS

Warthin tumor of minor salivary glands is a rare disease. We report a singular case of Warthin tumor localized in the upper lip mucosa, found as an incidental finding during a recovery for a biting lesion of cheek mucosa.

KEY WORDS

Incidental finding, Minor salivary glands, Warthin tumor.

摘要

目的

本报告展示了一名颊黏膜咬伤患者住院期间在上唇黏膜偶然发现沃辛瘤的病例。

材料与方法

一名32岁男性因颊黏膜咬伤就诊于费德里科二世大学颌面科。临床检查偶然发现上唇黏膜表层有一实性肿块。我们进行了微创手术治疗,在切除颊部病变的同时切除沃辛瘤以达到根治目的。

结果

进行了为期12个月的随访。两个伤口均完全愈合,未出现任何一种病变的复发。

讨论

该小涎腺沃辛瘤的位置非常罕见。影像学在小涎腺沃辛瘤诊断中的作用是确定其位置、形状、大小、轮廓、恶性特征及淋巴结受累情况。细针穿刺细胞学检查(FNAC)在小涎腺肿瘤的诊断和治疗中至关重要。小涎腺沃辛瘤患者的手术治疗是局部切除,切除边缘要足够宽以防止潜在复发。

结论

小涎腺沃辛瘤是一种罕见疾病。我们报告了一例位于上唇黏膜的沃辛瘤罕见病例,该病例是在颊黏膜咬伤恢复过程中偶然发现的。

关键词

偶然发现;小涎腺;沃辛瘤

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