Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors
Background: To describe the long-term outcomes of radiofrequency ablation (RFA) of parotid Warthin tumors that have different consistencies and locations. Methods: We reviewed ten patients with Warthin tumors undergoing RFA treatment from 2016 to 2019. The mean follow-up was 24.3 ± 13.1 months (rang...
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doaj-5a9142eacc8a41c9af1baba7b11665282021-07-01T00:42:41ZengMDPI AGInternational Journal of Environmental Research and Public Health1661-78271660-46012021-06-01186640664010.3390/ijerph18126640Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin TumorsChih-Hung Cha0Sheng-Dean Luo1Pi-Ling Chiang2Wei-Chih Chen3Yu-Cheng Tung4Yan-Ye Su5Wei-Che Lin6Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanDepartment of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanDepartment of Diagnostic Radiology, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung 833401, TaiwanBackground: To describe the long-term outcomes of radiofrequency ablation (RFA) of parotid Warthin tumors that have different consistencies and locations. Methods: We reviewed ten patients with Warthin tumors undergoing RFA treatment from 2016 to 2019. The mean follow-up was 24.3 ± 13.1 months (range 7–42 months). Results: RFA was performed on 11 tumors in ten patients. Cystic tumors (<i>n</i> = 4) had better volume reduction ratios (VRR) than solid tumors (<i>n</i> = 7) at month one and month six, following RFA (77.9% vs. 47.3%, 95.1% vs. 80.6%, respectively, <i>p</i> = 0.003). Tumors in both superficial lobes and deep lobes (<i>n</i> = 7) were larger than tumors in superficial lobes alone (<i>n</i> = 4), though there was no difference in VRR after treatment. All residual tumors were found in superficial lobes. There was no increase in residual tumor size. Every patient showed marked cosmetic improvements, with visible tumors becoming non-palpable masses. Conclusions: RFA is a safe and effective treatment for Warthin tumors, with better volume reduction in cystic tumors. Results remained satisfying over the long-term for all residual tumors found in superficial lobes, making it easier for re-intervention if necessary.https://www.mdpi.com/1660-4601/18/12/6640warthin tumorradiofrequency ablationultrasoundparotid glandparotidectomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Chih-Hung Cha Sheng-Dean Luo Pi-Ling Chiang Wei-Chih Chen Yu-Cheng Tung Yan-Ye Su Wei-Che Lin |
spellingShingle |
Chih-Hung Cha Sheng-Dean Luo Pi-Ling Chiang Wei-Chih Chen Yu-Cheng Tung Yan-Ye Su Wei-Che Lin Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors International Journal of Environmental Research and Public Health warthin tumor radiofrequency ablation ultrasound parotid gland parotidectomy |
author_facet |
Chih-Hung Cha Sheng-Dean Luo Pi-Ling Chiang Wei-Chih Chen Yu-Cheng Tung Yan-Ye Su Wei-Che Lin |
author_sort |
Chih-Hung Cha |
title |
Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors |
title_short |
Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors |
title_full |
Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors |
title_fullStr |
Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors |
title_full_unstemmed |
Long-Term Outcomes of Radiofrequency Ablation for Treatment of Cystic Warthin Tumors versus Solid Warthin Tumors |
title_sort |
long-term outcomes of radiofrequency ablation for treatment of cystic warthin tumors versus solid warthin tumors |
publisher |
MDPI AG |
series |
International Journal of Environmental Research and Public Health |
issn |
1661-7827 1660-4601 |
publishDate |
2021-06-01 |
description |
Background: To describe the long-term outcomes of radiofrequency ablation (RFA) of parotid Warthin tumors that have different consistencies and locations. Methods: We reviewed ten patients with Warthin tumors undergoing RFA treatment from 2016 to 2019. The mean follow-up was 24.3 ± 13.1 months (range 7–42 months). Results: RFA was performed on 11 tumors in ten patients. Cystic tumors (<i>n</i> = 4) had better volume reduction ratios (VRR) than solid tumors (<i>n</i> = 7) at month one and month six, following RFA (77.9% vs. 47.3%, 95.1% vs. 80.6%, respectively, <i>p</i> = 0.003). Tumors in both superficial lobes and deep lobes (<i>n</i> = 7) were larger than tumors in superficial lobes alone (<i>n</i> = 4), though there was no difference in VRR after treatment. All residual tumors were found in superficial lobes. There was no increase in residual tumor size. Every patient showed marked cosmetic improvements, with visible tumors becoming non-palpable masses. Conclusions: RFA is a safe and effective treatment for Warthin tumors, with better volume reduction in cystic tumors. Results remained satisfying over the long-term for all residual tumors found in superficial lobes, making it easier for re-intervention if necessary. |
topic |
warthin tumor radiofrequency ablation ultrasound parotid gland parotidectomy |
url |
https://www.mdpi.com/1660-4601/18/12/6640 |
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