Favia G, Pratelli D, Bux M, De Falco V A, Albrizio M, Maiorano E
Clinica Odontostomatologica, Università degli Studi, Bari.
Minerva Stomatol. 1995 Jul-Aug;44(7-8):325-33.
A series of 76 cases of adenolymphoma (Warthin's tumor) of the salivary glands is presented with emphasis on its epidemiological, clinico-pathological and therapeutic features; together with the analysis of the clinical records and of the epidemiological data, this study has reevaluated the histopathological features of the 76 cases of Warthin's tumor on hematoxylin-eosin stained slides. On these bases, the authors underline the frequent multifocality and/or bilaterality of Warthin's tumor (11.3% of cases), its frequent association with tumors of other sites (11.3% of cases), the prevalence in males (M:F ratio = 24:1) and in adults (mean age: 57 years) of this type of tumor. Furthermore, this study confirms the parotid gland as the elective site for Warthin's tumor and the possibility to categorize this entity into four different histological types. The latter finding should be kept in mind especially when fine needle aspiration (FNA) is used as a preoperative diagnostic procedure for Warthin's tumor to avoid misleading diagnosis and overtreatment. From the analysis of the results the authors underline the need for a complex and multidisciplinary approach to the diagnosis of Warthin's tumor in order to allow conservative surgery with preservation of the facial nerve.
本文报告了76例涎腺腺淋巴瘤（沃辛瘤），重点阐述了其流行病学、临床病理及治疗特点；通过对临床记录和流行病学数据的分析，本研究重新评估了这76例沃辛瘤苏木精-伊红染色切片的组织病理学特征。基于这些，作者强调了沃辛瘤常见的多灶性和/或双侧性（占病例的11.3%）、其与其他部位肿瘤的常见关联（占病例的11.3%）、该类型肿瘤在男性中的患病率（男女比例为24:1）以及在成年人中的患病率（平均年龄：57岁）。此外，本研究证实腮腺是沃辛瘤的好发部位，且有可能将该肿瘤分为四种不同的组织学类型。当细针穿刺抽吸（FNA）用作沃辛瘤的术前诊断方法时，尤其应牢记后一发现，以避免误诊和过度治疗。通过对结果的分析，作者强调对沃辛瘤的诊断需要采用综合多学科方法，以便在保留面神经的情况下进行保守手术。
