Click on image above to enlarge; advance with cursor over lateral border
see also: Parotidectomy with Facial Nerve Dissection; Parotidectomy - case example (resection of multiple Warthin's tumors); Salivary Swelling; Warthin Tumor Radiology
Surgery - Parotidectomy is the stardard surgical treatment. Capsular dissection without formal parotidectomy is a resonable alternative in selected cases due to the benign, non-recurrent nature of the tumor.
Radiation - not indicated
Immunotherapy - not indicated
Chemotherapy - not indicated
Observation - reasonable alternative to surgery in patients with either 1) significant comorbidities or 2) anatomic/physiologic alterations that compromise successful surgery (e.g. high risk for facial nerve paralysis). In these cases, serial ultrasound (possible repeat FNA) is often offered.