Abstract
A seventy eight years old male patient underwent a whole body 18F- FDG PET/CT imaging to diagnose the lesion which was showed in the right lung by a chest X ray test and CT scan before. Besides the intense 18F- FDG uptake of the lesion in the right lung, a lesion in the left parotid gland also showed intense 18F- FDG uptake. To evaluate the pathology of the lesion in the left parotid gland, a parotid gland scintigraphy imaging with Tc-99m pertechnetate was done and revealed a Warthin’s tumor. Later a fine needle aspiration(FNA) confirmed that it was a Warthin’s tumor.
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Rice DH. Salivary Gland Disorders: neoplastic and nonneoplastic[J]. Med Clin North Am 1999; 83: 197–218.
Saxena A, Memauri B, Hasegawa W. Initial diagnosis of small lymphocytic lymphoma in parotidectomy for Wathin tumour, a rare collision tumour[J]. J Clin Pathol 2005; 58: 331–333.
Weinstein GS, Harvey RT, Zimmer W, et al. Technetium-99m pertechnetate salivary gland imaging: its role in the diagnosis of Warthin’s tumor [J]. J Nucl Med 1994; 35: 179–183.
Lamelas J, Terry JH, Alfonso AE. Warthin’s tumor: multicentricity and increasing incidence in women[J]. Am J Surg 1987; 154: 347–351.
Higashi T, Murahashi H, Iluta H, et al. Identification of Warthin’s tumor with technetium-99m pertechnetate[ J]. Clin Nucl Med 1987; 12: 796–800.
Batsakis JG. Carcinoma ex papillary cystadenoma lymphomatosum malignant Warthin’s tumor[J]. Ann Otol Rhinol laryngol 1987; 96: 234–235.
Finkelstein DM, Noyek AM, Chapnik JS. Multiple bilateral synchronous Warthin’s tumors: a case report and review of the literature[J]. J Otolaryngol 1989; 18: 357–361.
Nishiyama Y. The mechanism of positive scintigraphy with 99m Tc-pertechnetate in adenolymphomas of the parotid grand[J]. Nippon Jibiinkoka Gakkai Kaiho(in Japanese) 1998; 101: 615–619.
Uchida Y, Minoshima S, Kawata T, et al. Diagnostic value of FDG PET and salivary gland scintigraphy for parotid tumors[J]. Clin Nucl Med 2005; 30: 170–176.
Sostre S, Medina L, de Arellano GR. The various scintigraphic patterns of Warthin’s tumor[J]. Clin Nuc Med 1987; 12: 620–626.
Metser U, Miller E, Lerman H, et al. Benign nonphysiologic lesions with increased 18F- FDG uptake on PET/CT: characterization and incidence[J]. AJR Am J Roentgenol 2007; 189:1203–1210.
Ozawa N, Okamura T, Koyama K, et al. Retrospective review: usefulness of a number of imaging modalities including CT, MRI, technetium-99m pertechnetate scintigraphy, gallium-67 scintigraphy and F-18-FDG PET in the differentiation of benign from malignant parotid masses[J]. Radiat Med 2006; 24: 41–49.
Basu S, Houseni M, Alavi A. Significance of incidental fluorodeoxyglucose uptake in the parotid glands and its impact on patient management[J]. Nucl Med Commun 2008; 29: 367–373.
Horiuchi M, Yasuda S, Shohtsu A, et al. Four cases of Warthin’s tumor of the parotid gland detected with FDG PET[J]. Ann Nucl Med 1998; 12: 47–50.
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Fang, Tz., Zhu, Jr., Chuan, L. et al. Differential diagnosis of Warthin’s tumor complicated with lung adenocarcinoma by 18F- FDG PET/CT imaging and radioisotope scanning with Tc-99m pertechnetate: A case report and literature review. Chin. J. Cancer Res. 22, 163–166 (2010). https://doi.org/10.1007/s11670-010-0163-z
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DOI: https://doi.org/10.1007/s11670-010-0163-z