|Year : 1989 | Volume
| Issue : 4 | Page : 193
Warthin's tumour of the eye lid
Arun Mathur, ML Mehrotra, Upreet Dhaliwal
Department of Ophthalmology, LLRM Medical College, Meerut, India
Department of Ophthalmology, LLRM Medical College, Meerut
Source of Support: None, Conflict of Interest: None
A rare case of Warthin's tumour, arising from the lid, is being presented. It is probably the first of its kind reported In literature.
|How to cite this article:|
Mathur A, Mehrotra M L, Dhaliwal U. Warthin's tumour of the eye lid. Indian J Ophthalmol 1989;37:193
| Introduction|| |
Papillary cystadenoma lymphomatosum (Warthin's tumour) is a benign tumour of the parotid gland,, arising most commonly from its lower portion . It chiefly affects men (5:1) from 40 to 70 years of age . Only rarely is an extraparotid lesion encountered . A unique case was described in 1963 where it occured in the caruncle. In this case, a swelling protruding from the lid margin and clinically resembling a squamous cell carcinoma was diagnosed on histopathology.
| Case report|| |
A 60 year old male presented with a swelling of the left upper lid since 18 months. This was gradually increasing in size. It had not responded to local treatment. It was 2 x 1 x 1 cm in size, firm, non tender, fixed to the deeper structures and involved the lid margin. The surface was ulcerated and it had everted, indurated margins. The jugulo-digastric lymphnode on the same side was enlarged.
A provisional diagnosis of squamous cell carcinoma was made. Excision biopsy was done with 2-3 mm normal surrounding tissue and histopathological examination carried out.
| Histopathology|| |
Grossly, the tumour tissue was greyish brown, 1.5 x 0.5 X 0.5 cm with a smooth and homogenous cut surface, Microscopy revealed an intact covering of squamous epithelium. The tumour was composed of gandular and cystic structures lined by characteristic double layered epithelium. The stroma contained lymphoid tissue. It was unduly cellular but showed no mitosis. The origin was thought to be the glands of Zeiss.
The histological picture concurred with the diagnosis of Warthin's tumour. There has been no recurrence in the one year of follow up.
| Comments|| |
A benign Warthin's tumour was diagnosed, histopathologically from an ulcerating growth of the upper lid margin. The tumour is rarely extraparotid and has never been reported from the eye lids before.
| References|| |
McGurk, F.M. Main, J.H.P., Orr,J.A.;Adenoly phoma of the parotid gland, Brit.J.Surg., 57:321,1970.
Thackrey,A.C.,Sobin,L.H:,Histological typing of salivary gland tumours,No.7,pp 21 ,WHO,Geneva,1972.
Oaks and Jenson (2963) from Duke Elder's Suystem of Ophthamology, Vol.8,Part 2,p 1177,London, Henry Kimpton,1965.