Pleomorphic adenoma of deep lobe of parotid: A rare pediatric tumor

• <5% salivary gland neoplasms-in children: maximum in parotid.
• <10% parotid tumors-in deep lobe-very rare.
• 9yrF-FNAC pleomorphic adenoma-intraop: deep lobe; enucleation: no recurrence@3yrf/u.
• Options: total parotidectomy/extra capsular excision/enucleation.
• Simple enucleation = complete resection + less complications + no recurrence.

Salivary gland neoplasms are extremely rare in children and comprise less than 1% of all pediatric neoplasms. Benign neoplasms account for 60% of these salivary tumors in children. They are most commonly vascular in origin with parotid glands being affected commonly. Pleomorphic adenoma is common in adults; it is extremely rare in pediatric age group. We report a 9 year old girl with a parotid region swelling; suspected to be a pleomorphic adenoma of the superficial lobe of parotid. However, it was arising from the deep lobe & hence was managed with an enucleation of the tumor with no evidence of recurrence after 3 years of follow up.