Incidental finding of upper lip Warthin tumor
Marzia Petrocelli 1, Carolina Sbordone 2, Giovanni Salzano 2, Giovanni Orabona 2, Francesco Cassandro 3, Stefano Fusetti 4, Luigi Califano 2, Ettore Cassandro 1
Affiliations
Article Info
1 Otolaryngology Unit Department of Medicine, Surgery and Odontoiatrics, University of Salerno, Fisciano, Salerno, Italy
2 Maxillofacial Surgery Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University “Federico II”, Naples, Italy
3 Dentistry Unit, Department of Neurosciences, Reproductive and Odontostomatological Sciences, University “Federico II”, Naples, Italy
4 Department of Maxillofacial Surgery, University of Padova, Padova, Italy
Abstract
AIM: This report shows an incidental finding of Warthin tumor in upper lip mucosa during hospitalization for a biting lesion of cheek mucosa MATERIALS AND METHODS: A 32-year-old male affected by a biting lesion of cheek mucosa was presented at MaxilloFacial Unit of Federico II University. Clinical examination showed as an incidental finding a solid mass in the superficial layer of upper lip mucosa. We performed mini-invasive surgical treatment to obtain a radical excision of the cheek lesion at the same time as excision of Warthin tumor. Results: a follow up of 12 months was performed. The complete healing of the two wounds was achieved, with no recurrence of any of the pathologies. DISCUSSION: The location of this Warthin tumor of minor salivary glands is very unusual. The role of imaging in diagnosis of Warthin tumor of minor salivary glands is to define localization, shape and dimension, contour, malignant features, nodal involvement. The role of fine needle aspiration cytology (FNAC) is critical in the diagnosis and therapy of minor salivary gland tumors. The surgical treatment in patients affected by Warthin tumour of minor salivary glands is local excision with a wide tumor free margin to prevent potential recurrence. CONCLUSIONS: Warthin tumor of minor salivary glands is a rare disease. We report a singular case of Warthin tumor localized in the upper lip mucosa, found as an incidental finding during a recovery for a biting lesion of cheek mucosa.
Keywords
- Incidental finding
- Minor salivary glands
- Warthin tumor
