Incidental finding of upper lip Warthin tumor

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COD: 2757_14_11_2017_EP Categorie: , ,

Marzia Petrocelli, Carolina Sbordone, Giovanni Salzano, Giovanni Dell’Aversana Orabona
Francesco Maria Cassandro, Stefano Fusetti, Luigi Califano, Ettore Cassandro

Ann Ital Chir, Digital Edition 2017, 6
Epub, November 14

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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 Maxillo-
Facial 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.

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