Abstract

Summary Introduction Warthin's tumor is the second most common neoplasm of major salivary glands, whereas tuberculosis is a rare entity within parotid gland. Mycobacteria may reach stroma of the gland from saliva (through lymphatic vessels and salivary ducts). The infection might spread from primary origin in lungs as well. Inflammatory changes within adenolymphoma are well documented. Patey and Thackray suggested that fluid component of cysts within Warthin's tumor may be the culture medium for pathogens. There are very few documented cases of coexistence of adenolymphoma and tuberculosis within parotid gland. Case presentation 74-year-old female with a tumor of left mandibular angle was admitted to ENT Clinic of Medical University of Silesia. The patient underwent superficial parotidectomy. Tissue specimens revealed features of adenolymphoma and multiple epithelioid granulomas with caseation. She received antimycobacterial treatment. Conclusions The case of coexistence of adenolymphoma and tuberculosis within parotid gland mentioned in this work is the first documented in Poland.

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