Snyderman C, Johnson J T, Barnes E L
Otolaryngol Head Neck Surg. 1986 Feb;94(2):169-75. doi: 10.1177/019459988609400207.
Papillary cystadenoma lymphomatosum (Warthin's tumor) is a benign, slowly growing tumor found almost exclusively in the parotid gland or periparotid lymph nodes. Our experience with 14 cases of extraparotid Warthin's tumor (EPWT) over 22 years is presented. All cases occurred in extraparotid lymph nodes and represented 8.0% of 176 Warthin's tumors accessioned during this time. Fourteen cases of EPWT occurred in 13 patients (seven men and six women) between 41 and 77 years old. Three of the 13 patients (23%) had associated Warthin's tumor of the parotid gland. One of these patients also had a metachronous EPWT presented as a contralateral cervical mass. EPWT was discovered incidentally in six patients (46%) undergoing neck dissections for malignancies of the head and neck. Four patients (31%) presented with clinically evident solitary cervical masses. The embryologic basis for such findings is discussed. EPWT is adequately managed by conservative excision.
乳头状囊腺瘤淋巴瘤（沃辛瘤）是一种良性、生长缓慢的肿瘤，几乎仅见于腮腺或腮腺周围淋巴结。本文介绍了我们在22年间对14例腮腺外沃辛瘤（EPWT）的诊治经验。所有病例均发生于腮腺外淋巴结，占同期收治的176例沃辛瘤的8.0%。14例EPWT发生于13例患者（7例男性，6例女性），年龄在41至77岁之间。13例患者中有3例（23%）合并腮腺沃辛瘤。其中1例患者还出现了异时性EPWT，表现为对侧颈部肿块。6例（46%）EPWT患者是在因头颈部恶性肿瘤接受颈部清扫术时偶然发现的。4例（31%）患者表现为临床上明显的孤立性颈部肿块。本文讨论了这些发现的胚胎学基础。EPWT通过保守切除即可得到妥善治疗。
