淋巴樣乳頭囊狀腺瘤症候群－病例報告

Papillary Cystadenoma Lymphomatosum Syndrome – Case Report

陳永煌(Young-Hwang Chen) ； 劉博仁(Po-Jen Liu) ； 袁本治(Ben-Chih Yuan)

《中華民國耳鼻喉科醫學會雜誌》 33卷4期 (1998/08) Pp. 390-393

https://doi.org/10.6286/1998.33.4.390

摘要

Warthin氏瘤是一生長緩慢的良性腫瘤，臨床上常以一在腮腺淺葉尾部、生長緩慢、無症狀腫塊來表現，約10%會有快速成長之病史及痛、壓力感等症狀。Warthin氏瘤有一罕見的併發症，名為淋巴樣乳頭囊狀腺瘤症候群（papillary cystadenoma lymphomatosum syndrome），其造成的原因可能為腫瘤梗塞（infarction），或腫瘤因為致病菌經由血路、淋巴或唾液腺管逆行感染而造成之症狀。本院於民國85年4月經驗1病例，其因右邊腮腺區有一腫塊合併急性紅、腫、熱、痛、發燒而至本院求診。經手術後，組織病理切片顯示為Warthin氏瘤合併膿瘍產生，術後病人症人症狀改善，無復發情況。

關鍵字

Warthin氏瘤 ； 淋巴樣乳頭囊狀腺瘤症候群 ； 感染性腺樣淋巴瘤

並列摘要

Warthin’s tumor was first described by Hildebrand in 1895. It most commonly presents as slowly growing, asymptomatic mass in the tailed of the parotid gland. Only 10% of patients present with symptoms such as pain and pressure or give a history of rapid growth.
Papillary cystadenoma lymphomatosum syndrome is an unusual clinical condition that was first described in 1970 as infected adenolymphoma syndrome. We report a case who had presented with a mass over his right parotid area with acute infection. Resection of the lesion buy the superficial parotidectomy was performed. Tumor was excised completely, and they was proven to be Warthin’s tumor with abscess formation by pathology department. No recurrence was noted until now.

並列關鍵字

Warthin's tumor ； papillary cystadenoma lymphomatosum syndrome ； infected adenolymphoma