An ulcerated giant pleomorphic adenoma of the parotid gland – A case report

Pleomorphic adenoma (PA) is the most common salivary gland tumour. It accounts for a majority of parotid gland tumour. Neglected and untreated PAs can grow in size and weigh several kilograms. Complete resection of the tumour and preservation of the facial nerve are the main principles of surgery. Giant PA of the parotid gland is reported as a rarity in medical literature. We report a rare giant PA with ulceration over the mass in a 92 year old man on the right side of the face. Patient had undergone superficial parotidectomy with good cosmetic outcome. The excised specimen was 20 cm × 1 5cm × 12 cm in dimension and 3.8 kg in weight. Even an ulcerated, malignant transformation was not seen in the tumour.