Bilateral adenolymphoma of the parotid salivary gland associated with tuberculosis

Adenolymphoma of the parotid gland

“…We agree with Carmichael and others (1935 The fact that none of the 34 patients had more than one tumour is surprising, in view of the most generally accepted theory of the histogenesis of these lesions, to be discussed below, and also in the light of the reports of Shaw and Friedmann (1959) of 21 instances of bilateral tumour and 8 instances of multiple tumour, and of Patey and Thackray (1958) who recorded that on serial sectioning of 5 operation specimens, 4 showed more than one tumour. The low growth potentiality of adenolymphoma, postulated by the latter authors, may explain the absence of bilateral tumours in this series, while the fact that the standard operation employed here was local excision will account for our not recording multiple unilateral tumours.…”

Fine Needle Aspiration Cytology and Diagnostic Pitfalls in Warthin’s Tumor with Necrotizing Granulomatous Inflammation and Facial Nerve Paralysis

“…14,[20][21][22] The most popular theory for the origin of WT is that it represents a proliferation of the epithelium of SG ducts that were trapped in lymph nodes during embryologic development. 2,12,19,[23][24][25] This hypothesis is supported by the histologic identification of ductal inclusions within parotid and paraparotid lymph nodes. Immunologic studies of the lymphoid component of WT demonstrate T and B cell ratios comparable to benign and reactive lymph nodes.…”

“…Indeed, a few early reports asserted that granulomata in WT were due to mycobacterial infection, even though cultures and special stains did not identify microorganisms and clinical findings did not fit with infection. 25 Facial nerve dysfunction associated with a parotid mass suggests that a malignant tumor has invaded the nerve. In the very rare instances in which facial nerve paralysis is secondary to a benign parotid tumor, the tumor has caused dysfunction by compressing or stretching the nerve.…”

Salivary gland tumours in Malaya.

“…Cases were reported by Owen (1946), Hevenor and Clark (1950) and Shaw and Friedmann (1959), but only Collins and Shucksmith (1953) could demonstrate tubercle bacilli in their material. Since these appear to be the only documented cases in the literature it would be of interest to record another case found in the present series.…”