Department of Otorhinolaryngology-Head and Neck Surgery, 38024Kaohsiung Veterans General Hospital, Kaohsiung.
School of Medicine, National Defense Medical Center, Taipei.
Ear Nose Throat J. 2022 Jun;101(5):332-335. doi: 10.1177/0145561320957574. Epub 2020 Sep 15.
Warthin tumor with ulceration of the surrounding skin is extremely rare, making it difficult to differentiate from parotid cancer in the clinical setting. We report a 65-year-old man with a Warthin tumor in the right parotid gland that had ulceration of the overlying skin. The patient presented with right upper neck mass 2 years ago. Ultrasound and fine needle aspiration were done, and Warthin tumor was suspected. One year later, the mass was enlarged with ulceration of the skin. Superficial parotidectomy with fusiform excision of the skin was performed, and histopathological diagnosis revealed a Warthin tumor with inflammatory change. We proposed that this unique manifestation may have been induced by fine needle aspiration, enlargement of the tumor, and ischemic changes secondary to pulmonary arteriovenous malformations.
Warthin 瘤伴周围皮肤溃疡极为罕见，使其在临床环境中难以与腮腺癌相鉴别。我们报告一例右腮腺的沃辛瘤伴皮肤表面溃疡，患者为 65 岁男性。2 年前，他出现右侧颈上部肿块。超声和细针抽吸检查提示沃辛瘤。1 年后，肿块增大伴皮肤溃疡。行腮腺浅叶切除术加梭形皮肤切除术，组织病理学诊断为伴有炎症改变的沃辛瘤。我们推测这种独特的表现可能是由细针抽吸、肿瘤增大和肺动静脉畸形引起的缺血性变化导致的。
