Origin of tuberculosis within Warthin’s tumor of parotid gland
Journal Title: Polski Przegląd Otorynolaryngologiczny - Year 2012, Vol 1, Issue 3
Abstract
Introduction: Warthin’s tumor is the second most common neoplasm of major salivary glands, whereas tuberculosis is a rare entity within parotid gland. Mycobacteria may reach stroma of the gland from saliva (through lymphatic vessels and salivary ducts). The infection might spread from primary origin in lungs as well. Inflmmatory changes within adenolymphoma are well documented. Patey and Thackray suggested that flid component of cysts within Warthin’s tumor may be the culture medium for pathogens. There are very few documented cases of coexistence of adenolymphoma and tuberculosis within parotid gland. Case presentation: 74-year-old female with a tumor of left mandibular angle was admitted to ENT Clinic of Medical University of Silesia. The patient underwent superfiial parotidectomy. Tissue specimens revealed features of adenolymphoma and multiple epithelioid granulomas with caseation. She received antimycobacterial treatment. Conclusions: The case of coexistence of adenolymphoma and tuberculosis within parotd gland mentioned in this work is the fist documented in Poland.
Authors and Affiliations
Katarzyna Pasternak, Jarosław Markowski, Maciej Kajor
Keywords
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