Features
Incidence: 10% of parotid tumors and bilateral in 10% of cases, especially in old age and smokers.
Site: Superficial part and lower lobe of the parotid gland.
Symptom: Elderly male > 50 years, presents with painless, slowly growing swelling on the side of the face.
Sign
- Same as pleomorphic adenoma but always cystic or soft in consistency.
- In front of the tragus of the ear.
- Not elevating the lobule of the ear.
Investigation
- Tc99 scan: hot spot.
- CT scan.
Treatment
- Conservative superficial parotidectomy.