Favia G F, Pratelli D, Bux M, De Falco V
Clinica Odontostomatologica, Università degli Studi di Bari.
Minerva Stomatol. 1994 Nov;43(11):535-42.
Cystadenoma lymphomatosum or Warthin's tumor of the parotid glands appears bilateral in 8-10% of cases, synchronous (rarely), metachronous (frequently) and sometimes with multicentric aspects. After the review of the epidemiological, pathogenetic, clinical, radiographic and histologic data, the authors present two cases of bilateral Warthin's tumor, metachronous (7 years), nodular-isolated in the first one and metachronous (5 years), nodular-multicentric in the second one. The patients after CAT scan and NMR examinations, and a fine needle aspiration biopsy were treated with superficial parotidectomy with preservation of the facial nerve. In our experience the management of patients affected by Warthin's tumors, needs the following steps: CAT scan and NMR examinations to outline multiple and bilateral lesions, fine needle aspiration biopsy, superficial parotidectomy with preservation of the facial nerve, an extended follow-up (10 years after the last surgery).
腮腺腺淋巴瘤或沃辛瘤在8% - 10%的病例中呈双侧性，可同时发生（罕见）、异时发生（常见），有时还具有多中心表现。在回顾了流行病学、发病机制、临床、影像学和组织学数据后，作者介绍了两例双侧沃辛瘤病例，第一例异时发生（间隔7年），为结节孤立型；第二例异时发生（间隔5年），为结节多中心型。患者经CT扫描、核磁共振检查及细针穿刺活检后，接受了保留面神经的腮腺浅叶切除术。根据我们的经验，沃辛瘤患者的治疗需要以下步骤：CT扫描和核磁共振检查以明确多发及双侧病变，细针穿刺活检，请保留面神经的腮腺浅叶切除术，延长随访时间（最后一次手术后10年）。
