Basheer Shyma, Satish Alamelu, Vallonthaiel Archana George, Sarma Manjit
Department of Nuclear Medicine & Molecular Imaging, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
World J Nucl Med. 2022 Sep 9;22(1):22-25. doi: 10.1055/s-0042-1750401. eCollection 2023 Mar.
Warthin's tumor is a benign and frequently encountered salivary gland neoplasm. Bilaterality and multifocality are rare in Warthin's tumor. Synchronous cervical lymph nodal metastasis with unknown primary in a case of Warthin's tumor can raise a suspicion of primary malignancy of the parotid gland. We present a case of bilateral multifocal Warthin's tumor with synchronous squamous cell carcinoma metastasis to the cervical lymph node. F-fluorodeoxyglucose whole body positron emission tomography/computed tomography imaging showed hypermetabolic bilateral multifocal parotid lesions and metastatic cervical lymph node with unknown primary malignancy.
沃辛瘤是一种常见的良性涎腺肿瘤。双侧性和多灶性在沃辛瘤中较为罕见。沃辛瘤病例中出现同步性颈部淋巴结转移而原发灶不明，可能会使人怀疑腮腺原发性恶性肿瘤。我们报告一例双侧多灶性沃辛瘤并伴有同步性鳞状细胞癌转移至颈部淋巴结的病例。F-氟脱氧葡萄糖全身正电子发射断层扫描/计算机断层扫描成像显示双侧多灶性腮腺病变代谢增高，以及转移性颈部淋巴结，原发恶性肿瘤不明。
