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Year : 1989  |  Volume : 37  |  Issue : 4  |  Page : 193

Warthin's tumour of the eye lid

Department of Ophthalmology, LLRM Medical College, Meerut, India

Correspondence Address:
Arun Mathur
Department of Ophthalmology, LLRM Medical College, Meerut
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Source of Support: None, Conflict of Interest: None

PMID: 2638310

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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

How to cite this URL:
Mathur A, Mehrotra M L, Dhaliwal U. Warthin's tumour of the eye lid. Indian J Ophthalmol [serial online] 1989 [cited 2023 Dec 10];37:193. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?1989/37/4/193/26049

  Introduction Top

Papillary cystadenoma lymphomatosum (Warthin's tumour) is a benign tumour of the parotid gland,, arising most commonly from its lower portion [1]. It chiefly affects men (5:1) from 40 to 70 years of age [2]. Only rarely is an extraparotid lesion encountered [3]. 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 Top

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 Top

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 Top

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 Top

McGurk, F.M. Main, J.H.P., Orr,J.A.;Adenoly phoma of the parotid gland, Brit.J.Surg., 57:321,1970.   Back to cited text no. 1
Thackrey,A.C.,Sobin,L.H:,Histological typing of salivary gland tumours,No.7,pp 21 ,WHO,Geneva,1972.  Back to cited text no. 2
Oaks and Jenson (2963) from Duke Elder's Suystem of Ophthamology, Vol.8,Part 2,p 1177,London, Henry Kimpton,1965.  Back to cited text no. 3


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