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Successful Ultrasound Guided Sclerotherapy Technique for the Management of a Microcystic Warthin’s Tumor
Journal article   Open access   Peer reviewed

Successful Ultrasound Guided Sclerotherapy Technique for the Management of a Microcystic Warthin’s Tumor

Tatiana Ferraro, Sophia Song, Punam Thakkar and Arjun Joshi
Journal of medical ultrasound, v 33(3), pp 275-277
01 Jul 2025
PMID: 41018834
url
https://doi.org/10.4103/jmu.jmu_9_24View
Published, Version of Record (VoR) Open

Abstract

Case Report
Ultrasonographic descriptions of Warthin’s tumor (WT) vary from a predominately macrocystic appearance (anechoic with internal septations) to microcystic (multiple, diffuse, 1–2 mm anechoic areas). While the current first-line treatment for WTs is surgical excision, ultrasound-guided ethanol sclerotherapy (UGES) demonstrates success in macrocystic WTs, with aspiration of the cystic contents followed by injection of the sclerosing agent. Typically, microcystic tumors are thought to be unresponsive to sclerotherapy. In this case, we report the first application of ethanol sclerotherapy without ultrasound-guided aspiration for the treatment of a microcystic WT. The patient presented with a 2.0 cm × 1.97 cm × 3.05 cm right parotid mass of 9 years’ duration. UGES was performed in clinic under local anesthesia through injection of 97% ethanol in the three separate components of the target lesion. Six months postprocedure, ultrasound evaluation demonstrated a volume reduction rate of 78.53%. The patient reported significant cosmetic improvement and no observed complications.

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Collaboration types
Domestic collaboration
Web of Science research areas
Radiology, Nuclear Medicine & Medical Imaging
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