The incidence of Warthin Tumors and Pleomorphic Adenomas in the Parotid Gland over a 25 year period

Abstract

Objectives

Pleomorphic adenoma (PA) is reported to be the most common benign parotid tumor followed by Warthin tumor (WT), but the proportion of these two entities might have changed.

Design

Retrospective file analysis.

Setting

Tertiary referral head and neck centre.

Participants

Patients who underwent a parotidectomy within a period of 25 years (1990-2014).

Main outcome measures

Rate of occurrence of PA and WT as well as the development of the PA/WT ratio over the years.

Results

Overall, 1818 patients with WT (707, 38.9%) and PA (1111, 61.1%) were identified. There was a dominance of PA over WT in all years. An increase in percentage of WT, from 24% in 1990 to 48% in 2014, in comparison to PA was evident.

Conclusions

In our single-institution hospital-based material of parotidectomies, the percentage of WT in comparison to PA has significantly increased over the last 25 years.

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