Warthin’s tumor (Papillary cystadenoma lymphomatosum) is a benign salivary neoplasm initially. It is predominantly found in the parotid gland and accounts for about 10-15% of all benign tumors of the parotid gland. It is known that it had higher incidence in males and in smokers. Warthin’s tumor had moderate intensity on T1- and T2- weighted images on the magnetic resonance image (MRI). In this case, a 44-year-old man visited our dental hospital with induration and pain on the right preauricular region. The lesion showed high intensity on T2- weighted images on the MRI. We performed tumor removal, with the histopathologic examination confirming Warthin’s tumor. This report presents review of literature and describes a case of Warthin’s tumor with high T2- weighted magnetic resonance image and its surgical treatment.

Warthin tumor, also known as papillary cystadenoma lymphomatosum is a benign neoplasm which occurs mostly in the parotid gland. It is the second most common benign neoplasm of the parotid gland, following pleomorphic adenoma. In occasion, the size of neoplasm grows slowly, and there is no symptom, except swelling. To prevent the recurrence, some surgeons prefer superficial parotidectomy, but the others prefer local resection with minimal surrounding tissue due to its low recurrence rate. We present a case of Warthin tumor of 55-year-old male.

A Warthin’s tumor of major salivary glands, in particular of parotid glands, is a common benign tumor that may occur synchronously or metachronously in the same or contralateral gland. Moreover, epithelial malignance associated with a Warthin’s tumor is extremely rare, and exists in three forms; epidermoid carcinoma, adenocarcinoma, and undifferentiated carcinoma. The reports, related with a case of squamous cell carcinoma arising in a Warthin’s tumor at the parotid gland were reported only additional 3 cases from 1999 to 2010; 30 cases reported up to 1999.[2,4,7] This case report was a extremely rare case where both a primary squamous cell carcinoma and a Warthin's tumor were coexisting in the same