Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-24T17:39:16.637Z Has data issue: false hasContentIssue false

Cystadenoma of the parotid gland with unusual prominent lymphoid stroma

Published online by Cambridge University Press:  29 June 2007

Stefan Pahl*
Affiliation:
Department of PathologyUniversity of Homburg, 66421 Homburg/Saar, Germany.
Werner Püschel
Affiliation:
Department of PathologyUniversity of Homburg, 66421 Homburg/Saar, Germany.
Philippe Federspil
Affiliation:
Department of Pathology and Otorhinolaryngology, University of Homburg, 66421 Homburg/Saar, Germany.
*
Address for correspondence: Dr Stefan Pahl, Institut für Pathologie, Universität Homburg, 66421 Homburg/Saar, Germany. Fax: 496841/163880.

Abstract

A rare variant of the cystadenoma of salivary gland origin is presented, which occurred in the parotid of a 36-year-old, otherwise healthy female patient. The tumour showed a dense follicle-containing lymphoid stroma, resembling papillary cystadenoma lymphomatosum (Warthin's tumour). In contrast to that, the epithelial lining gave a more irregular impression and oncocytic metaplasia were completely absent. Light microscopic and immunohistochemical features of the tumour are described and compared with those of classical cystadenoma and papillary cystadenoma lymphomatosum (Warthin's tumour). Other relevant multicystic epithelial parotid lesions, which are commonly associated with a prominent lymphoid component are discussed.

Type
Patology in Focus
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Auclair, P. L., Ellis, G. L., Gnepp, D. R. (1991) Other benign epithelial neoplasms. In Surgical Pathology of the Salivary Glands. (Ellis, G. L., Auclair, P. L., Gnepp, D. R., eds.) W. B. Saunders, Philadelphia, pp 252268.Google Scholar
Auclair, P. L. (1994) Tumor associated lymphoid proliferation in the parotid gland. A potential diagnostic pitfall. Oral Surgery, Oral Medicine and Oral Pathology 77: 1926.CrossRefGoogle ScholarPubMed
Bhaskar, S. N., Bernier, J. L. (1959) Histogenesis of branchial cysts; a report of 468 cases. American Journal of Pathology 35: 407423.Google ScholarPubMed
Camilleri, A. C., Lloyd, R. E. (1990) Lymphoepithelial cyst of the parotid. British Journal of Oral and Maxillofacial Surgery 28; 329332.CrossRefGoogle ScholarPubMed
Debain, J.-J., Peytral, C., Josset, P. (1980) Une forme inhabituelle de cystadenolymphome papillaire de la parotide. A propos d'un cas. Annales de Oto-Laryngologie (Paris) 12: 10471055.Google Scholar
Ellis, G. L., Auclair, P. L. (1996) Tumors of the Salivary Glands. Atlas of Tumor Pathology, 3rd Series, Fascicle 17. Washington, D.C.: Armed Forces Institute of Pathology, pp 115120.Google Scholar
Eveson, J. W., Cawson, R. A. (1986) Warthin's tumor (cystadenolymphoma) of salivary glands. A clinicopathologic investigation of 278 cases. Oral Surgery, Oral Medicine and Oral Pathology 61: 256262.CrossRefGoogle ScholarPubMed
Fujibayashi, T., Itoh, H. (1981) Lymphoepithelial (so-called branchial) cyst within the parotid gland. Report of a case and review of the literature. International Journal of Oral Surgery 10: 283292.CrossRefGoogle ScholarPubMed
Mandel, L., Reich, R. (1992) HIV parotid gland lymphoepithelial cysts. Review and case reports. Oral Surgery, Oral Medicine and Oral Pathology 74: 273278.CrossRefGoogle ScholarPubMed
Podlesak, T., Doleckova, V., Sibi, O. (1992) Malignancy of a cystadenolymphoma of the parotid gland. European Archives of Otorhinolaryngology 249: 233235.CrossRefGoogle ScholarPubMed
Segami, N., Fukuda, M., Manabe, T. (1989) Immunohistological study of the epithelial components of Warthin's tumor. International Journal of Oral and Maxillofacial Surgery 18: 133137.CrossRefGoogle ScholarPubMed
Seifert, G., Bull, H. G., Donath, K. (1980) Histological subclassification of the cystadenolymphoma of the parotid gland. Analysis of 275 cases. Virchows Arch A: Pathologische Anatomie und Histologie 388: 1338.CrossRefGoogle ScholarPubMed
Shaha, A. R., DiMaio, T., Webber, C., Thelmo, W., Jaffe, B. M. (1993) Benign lymphoepithelial lesions of the parotid. American Journal of Surgery 166: 403406.CrossRefGoogle ScholarPubMed