Change in Warthin’s tumor incidence: a 20-year joinpoint trend analysis

Tunç, Orhan; Gönüldaş, Burhanettin; Arslanhan, Yusuf; Kanlı́kama, Muzaffer

doi:10.1007/s00405-020-06081-w

Cited by 16 publications

(12 citation statements)

References 11 publications

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“…Finally, Psychogios et al [12] found that WTs were the most common benign lesion in their series of surgical parotid cases, in which 201 cases were WTs (42.4%) followed by 138 pleomorphic adenomas (29.1%). Additional publications from Poland [13] and Turkey [14] reported similar findings.…”

Section: Epidemiologysupporting

confidence: 62%

Current Trends and Controversies in the Management of Warthin Tumor of the Parotid Gland

et al. 2021

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Purpose: To review the current options in the management of Warthin tumors (WTs) and to propose a working management protocol. Methods: A systematic literature search was conducted using PubMed and ScienceDirect database. A total of 141 publications were selected and have been included in this review. Publications were selected based on relevance, scientific evidence, and actuality. Results: The importance of parotid WTs is increasing due to its rising incidence in many countries, becoming the most frequently encountered benign parotid tumor in certain parts of the world. In the past, all WTs were treated with surgery, but because of their slow growth rate, often minimal clinical symptoms, and the advanced age of many patients, active observation has gradually become more widely used. In order to decide on active surveillance, the diagnosis of WT must be reliable, and clinical, imaging, and cytological data should be concordant. There are four clear indications for upfront surgery: uncertain diagnosis; cosmetic problems; clinical complaints, such as pain, ulceration, or recurrent infection; and the patient’s wish to have the tumor removed. In the remaining cases, surgery can be elective. Active surveillance is often suggested as the first approach, with surgery being considered if the tumor progresses and/or causes clinical complaints. The extent of surgery is another controversial topic, and the current trend is to minimize the resection using partial parotidectomies and extracapsular dissections when possible. Recently, non-surgical options such as microwave ablation, radiofrequency ablation, and ultrasound-guided ethanol sclerotherapy have been proposed for selected cases. Conclusions: The management of WT is gradually shifting from superficial or total parotidectomy to more conservative approaches, with more limited resections, and to active surveillance in an increasing number of patients. Additionally, non-surgical treatments are emerging, but their role needs to be defined in future studies.

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Section: Epidemiologysupporting

confidence: 62%

Current Trends and Controversies in the Management of Warthin Tumor of the Parotid Gland

et al. 2021

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“…Tunç et al showed that pleomorphic adenoma still occupies the first place among benign parotid tumors. No significant annual percentage change of the Warthin tumor incidence was observed according to the segmented regression analysis [8].…”

Section: Dear Editormentioning

confidence: 81%

“…Recent studies have shown an increased incidence of Warthin tumors, but their results are difficult to generalize because these studies were performed on patients from certain geographical regions [7,8]. Tunç et al showed that pleomorphic adenoma still occupies the first place among benign parotid tumors.…”

Section: Dear Editormentioning

confidence: 99%

Dynamic ultrasonography for assessing the nerve-fasciae relationship in entrapment syndromes

et al. 2021

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“…Warthin's tumor and pleomorphic adenoma are the most common benign neoplasms of the parotid gland 1 . No or minimal rising incidence of Warthin's tumor has been observed, with the trend paralleling the declining smoking rate in the population 2,3 . Smoking is recognized as an etiologic factor in developing Warthin's tumor 4,5 .…”

Section: Introductionmentioning

confidence: 99%

“…1 No or minimal rising incidence of Warthin's tumor has been observed, with the trend paralleling the declining smoking rate in the population. 2,3 Smoking is recognized as an etiologic factor in developing Warthin's tumor. 4,5 Warthin's tumor is found in older age and male sex more prevalent than other benign tumors, and occasionally as bilateral and multiple lesions in the parotid gland.…”

Section: Introductionmentioning

confidence: 99%

Function‐preserving surgery via single transverse cervical incision for Warthin's tumor in the parotid gland

Roh

2022

Head & Neck

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Background: This study evaluated functional and disease control outcomes after gland-preserving surgery via a single transverse cervical incision for Warthin's tumor of the parotid gland. Methods: One-hundred eleven patients with Warthin's tumor underwent the preservation of most normal parotid tissues and the facial nerve combined with the en-bloc resection of tumors. Postoperative complications, subjective satisfaction, salivary function, and metachronous tumor were assessed in each patient.Results: No patients had an extension to modified Blair or periauricular incision with the median operation time of 32 min. Temporary and permanent paralysis of the facial nerve was 5 (4.0%) and none of 125 tumor resection sides, respectively. Postoperative complications were minimal. The secretory functions between the affected and unaffected glands did not differ. One patient had metachronous tumor for a median follow-up of 72 months. Conclusion:Functional gland-preserving surgery via single transverse cervical incision can safely treat Warthin's tumor in the parotid gland.

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Change in Warthin’s tumor incidence: a 20-year joinpoint trend analysis

Cited by 16 publications

References 11 publications

Current Trends and Controversies in the Management of Warthin Tumor of the Parotid Gland

Current Trends and Controversies in the Management of Warthin Tumor of the Parotid Gland

Dynamic ultrasonography for assessing the nerve-fasciae relationship in entrapment syndromes

Function‐preserving surgery via single transverse cervical incision for Warthin's tumor in the parotid gland

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