A Rare Coexistence of Papillary Carcinoma, Warthin’s Tumour and Oncocytosis

Abstract

This is the rare case where bilateral parotid glands, bilateral submandibular glands; both lobes of thyroid gland were involved synchronously. Patient was operated for bilateral superficial parotidectomy, bilateral submandibular gland excision and total thyroidectomy. Histopathology report suggested oncocytoma of bilateral parotid glands and one submandibular gland, nontoxic multinodular goiter of thyroid gland and simple cyst of other submandibular gland. This histopathology report was reviewed and reported as oncocytosis of ipsilateral parotid gland, submandibular gland and thyroid lobe, while solid variant of Warthin’s tumour of other parotid gland and papillary thyroid carcinoma of contralateral thyroid lobe. The mass of contralateral submandibular gland was reported as simple salivary duct cyst. On reviewing the literature we found that this type of association was rarely reported and there may be some histopathological relation between oncocytoma, oncocytosis, warthin’s tumour and papillary carcinoma thyroid. Although we do not have any conclusive evidence till date but reporting of more such cases may establish some relation between these entities in future.

Keywords

• bilateral parotidectomy
• multiple neck mass
• oncocytoma