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Published online before print May 11, 2009
British Journal of Radiology 2009, doi:10.1259/bjr/30175196
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© 2009 The British Institute of Radiology
Full paper

Warthin's tumour: a retrospective case series

T R TAYLOR 1, N J A COZENS 2, I ROBINSON 3

1 Department of Neuroradiology, Queens Medical Centre, Nottingham, UK
2 Departments of Radiology, Derbyshire Royal Infirmary, Derby, UK
3 Departments of Pathology, Derbyshire Royal Infirmary, Derby, UK


  Abstract

Warthin's tumour (benign cystadenolymphoma) is the second most common salivary gland tumour after pleomorphic salivary adenoma, and it is commonly encountered in routine head and neck ultrasonography. Tissue diagnosis can be achieved by fine-needle aspiration. Infarction and inflammatory response following fine-needle aspiration is previously described in excision specimens. We describe seven cases of radiologically infarcting Warthin's tumours in situ in a retrospective analysis of 76 patients, and demonstrate an approximate incidence of at least 9% of infarction following fine-needle aspiration in lesions left in situ. We recommend the possibility of infarction and associated clinical symptoms being incorporated into pre-fine-needle aspiration patient counselling.




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