2016, Number 35
Warthin tumor and epidermoid carcinoma of the oral cavity. Clinical case presentation
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Language: Spanish
References: 12
Page: 16-19
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ABSTRACT
Introduction. Salivary glands tumors are rare, with an annual incidence of approximately 2-3 cases per every 100.000 people worldwide. Warthin tumour (WT) has predominance in males and is the second most frequent benign neoplasm of the parotid gland just behind the pleomorphic adenoma, meanwhile the mucoepidermoid carcinoma is the most common malignant tumor.Clinical case. This is a case review of a 64 year-old male, who apparently doesn’t have any family background of interest. The patient refers a chronic consumption of tobacco since he was 15 years’ old and an equal consumption of alcohol of approximately 33 years of evolution. He currently attends to the otorhinolaryngology service due to a tumor in the right parotid region of slow growth. At the physical examination, a semi-soft mass is palpable in the indicated region. As an initial diagnosis, we considered: lipoma vs mucoepidermoid carcinoma vs WT, for this reason we requested a computed tomography (CT), although a definitive diagnosis by needle aspiration biopsy confirms the presence of WT. In addition, the patient presents a tumor in the oral cavity that conditions dysphagia. A histopathologic study reported mucoepidermoid carcinoma.
Conclusion. Salivary gland tumors are a rare pathology. The case described above represents an extremely peculiar entity. Both clinical entities, despite being histopathologically indifferent, represent a strong epidemiological association to smoking, risk factor present in the patient. It is concluded that due to the relation between the clinic, epidemiology and histopathology, both tumors have as a primary etiology the chronical smoking factor.
REFERENCES
Maza-Solano J, Sánchez-Gómez S, Herrero-Salado T, Benavente-Bermudo G, Ventura-Díaz J, de Mingo Fernández E. Clasificación pronóstica de los tumores malignos de glándula parótida | Revista Española de Cirugía Oral y Maxilofacial [Internet]. Elsevier.es. 2016 [cited 11 October 2016]. Disponible en: http://www.elsevier.es/es-revista-revista-espanola-cirugiaoral- maxilofacial-300-linkresolver-clasificacion-pronostica-los-tumoresmalignos- S1130055815000064
Velasco Ignacio, Salinas Felipe, Aguilar Leonardo, Gallego Alejandra, Pastrián Juan, Fariña Rodrigo et al . Consideraciones Anatómicas en la Parotidectomía: Revisión de la Literatura a Propósito de un Caso. Int. J. Morphol. [Internet]. 2013 Mar [citado 2016 Dic 06] ; 31( 1 ): 231-238. Disponible en: http://www.scielo. cl/scielo.php?script=sci_arttext&pid=S0717-95022013000100038&lng=es. http://dx.doi.org/10.4067/S0717-95022013000100038.