Unusual Cause of Posterior Splenic Defect

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Abstract
A 71 yr old man presented with a parotid mass and a thyroid nodule. An 123I scan revealed a cold nodule in the thyroid and uptake of the radioactive iodine in the parotid mass. On a 99mTc pertechnetate salivary gland scan, the parotid mass was hot and did not wash out with sodium perchlorate. At surgery, he was found to have a Warthin''s tumor of the parotid gland and an adenomatous goiter. The reasons for the scan appearance of the Warthin''s tumor are discussed. Since Warthin''s tumors are benign and uptake of radioactive I in the extrathyroidal deposits of thyroid carcinoma is rare with the thyroid gland in place, the uptake of I by a salivary gland mass probably indicates a benign process.

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