Pathology · single question

Which salivary gland tumor most commonly presents bilaterally and occurs predominantly in males?

  1. Pleomorphic adenoma
  2. Warthin tumor (papillary cystadenoma lymphomatosum)
  3. Mucoepidermoid carcinoma
  4. Adenoid cystic carcinoma
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Correct answer: B. Warthin tumor (papillary cystadenoma lymphomatosum)

Warthin tumor (papillary cystadenoma lymphomatosum) is the salivary tumor most likely to be bilateral/multifocal, classically in older male smokers, almost always in the parotid.Other options: Pleomorphic adenoma is the most common salivary tumor overall but is typically unilateral; mucoepidermoid and adenoid cystic are malignancies not noted for bilaterality.Key exam takeaway: Warthin tumor = bilateral, older male smokers, parotid.

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