ACCESSORY PAROTID GLAND TUMOR EXCISION - PRESENTING AS MID CHEEK MASS

Introduction:Tumors of the accessory parotid gland are rare, accounting for approximately 1% of all parotid gland neoplasms^[1]. Despite their infrequency, these lesions carry a comparatively higher risk of malignancy, with reported rates ranging from 26% to 50%^[2]. They typically present as painless, mid-cheek swellings and are diagnosed through imaging and cytological evaluation. We present a case of pleomorphic adenoma arising from the accessory parotid gland, managed surgically with favourable outcomes.

Case Presentation: A 47-year-old male presented with painless swelling which was gradually increasing in size, in the right mid-cheek for the past six months.On examination, the swelling measured approximately 2x2 cm, was non-tender, firm, mobile in both axes, and not adherent to the underlying structures. Ultrasonography (USG) and fine-needle aspiration cytology (FNAC) supported a diagnosis of pleomorphic adenoma involving the accessory parotid gland.Managed surgically by mid cheek incision and excision of the accessory parotid gland tumor. Postoperative recovery was uneventful, with no facial nerve impairment. Histopathological analysis confirmed the diagnosis.