KMID : 0361020110540030213
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Korean Journal of Otolaryngology - Head and Neck Surgery 2011 Volume.54 No. 3 p.213 ~ p.216
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A Clinical Study of the Warthin¡¯s Tumor of the Salivary Gland
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Lim Sang-Ho
Lyu Sun-Ho Lee Kyung-Suk Hwang Byung-Eon Lee Eun-Jung Hong Ki-Hwan Yang Yun-Su
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Abstract
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Background and Objectives The aim of this study was to define the clinical characteristics and treatment outcome of the salivary Warthin¡¯s tumor in order to work out a therapeutic strategy.
Subjects and Method The medical records of 64 patients who underwent surgery and were pathologically diagnosed with Warthin¡¯s tumor at our department from January 1997 to December 2009 were reviewed retrospectively.
Results There were 60 (94%) males and 4 (6%) females with an overall male-to-female ratio of 15 : 1. The average age was 59.8¡¾9.2 years (range from 35 to 78). All tumors were found in the parotid gland. Of the 66 tumors, 31 (48%) occurred in the right side, 28 (44%) tumors occurred in left side, and 5 (8%) tumors occurred in bilaterally. A superficial parotidectomy was performed in 38 (59%) patients, lumpectomy in 25 (39%) patients and bilateral lumpectomy in one patient. There were 18 (28%) postoperative complications. The most common complication was transient facial palsy that occurred in 11 (17%) patients. Recurrence occurred in 2 (3%) patients, oneipsilaterally and the other contralaterally. All recurrences were found in patients who underwent superficial parotidectomy.
Conclusion Warthin¡¯s tumor has a very low recurrence rate with a benign nature. The study shows that lumpectomy is an effective surgical treatment for Warthin¡¯s tumor with an advantage of reducing facial nerve palsy and recurrence rate. Korean J Otorhinolaryngol-Head Neck Surg 2011;54:213-6
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KEYWORD
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Warthin¡¯s tumor, Lumpectomy, Parotid gland
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