Warthin Tumor of Lacrimal Gland

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Disease Entity

Warthin's tumor is a benign neoplasm that affects salivary glands. It rarely affects the Lacrimal gland with just one case report described in 1997 [1].

Disease

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Etiology

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Risk Factors

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General Pathology

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Pathophysiology

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Primary prevention

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Diagnosis

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History

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Physical examination

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Signs

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Symptoms

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Clinical diagnosis

Clinical diagnosis is suspected with the following signs:

1 - Downwards and inwards proptosis.

2 - Mechanical blepharoptosis.

Diagnostic procedures

A computed tomography scan can be performed to show a large, round cystic-like mass in the lacrimal fossa.

A biopsy confirms the diagnosis showing strong lymphocytic component (lymphocytes and plasma cells) and an epithelial component. The lymphoid component is focal and follicular. The epithelial component is formed by solid nests and papillary infoldings of columnar cells. Cystic spaces containing an exudative eosinophilic fluid are commonly seen.

Laboratory test

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Differential diagnosis

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Management

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General treatment

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Medical therapy

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Medical follow up

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Surgery

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Surgical follow up

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Complications

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Prognosis

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Additional Resources

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References

  1. Bonavolontà, G., Tranfa, F., Staibano, S., Di Matteo, G., Orabona, P., & De Rosa, G. (1997). Warthin tumor of the lacrimal gland. American journal of ophthalmology, 124(6), 857–858. https://doi.org/10.1016/s0002-9394(14)71713-1
  1. Bonavolontà, G., Tranfa, F., Staibano, S., Di Matteo, G., Orabona, P., & De Rosa, G. (1997). Warthin tumor of the lacrimal gland. American journal of ophthalmology, 124(6), 857–858. https://doi.org/10.1016/s0002-9394(14)71713-1
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