Warthin’s tumor of parotid gland: treatment of a retroneural lesion by enucleation

M. Batori, G. Mariotta, G. Giovannone, G. Casella, M.C. Casella

Department of Surgical Sciences and Applied Medical Technologies, “La Sapienza” University of Rome (Italy)

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• Surgery

Abstract. – The papilliferous cystadenomas lymphomatosum or Warthin’s tumor is a relatively rare and generally benign neoformation whose incidence is second only to the pleomorfic adenoma. 84% of all Warthin’s tumor strikes the parotid gland. We report the two cases that come to our observation paying particular attention to the second one in which occurred a synchronous bilateral manifestation, a rarity in the clinical circle. We want to highlight that enucleation should be the preferred treatment in most cases due to extremely small dimension of Warthin’s tumor. Moreover it is possible to perform this kind of surgical treatment even in the case of a retroneural lesion without causing any damage to the facial nerve and its main branches. As regards complications and sequelae we noticed neither a permanent nor a temporary injury of the facial mimicry and sensibility.

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