Pleomorphic adenoma arising from tail of parotid gland: A diagnostic dilemma

Lesions of the tail of the parotid gland are difficult to assess clinically and posea diagnostic dilemma. Pedunculated lesions of the tail of parotid gland may be mistaken for an extra parotid lesion. FNAC and ultrasound is essential to confirm the diagnosis. In this case report, we present a case of a pleomorphic adenoma arising fromthe tail of the parotid gland, which is located posteroinferior to the angle of mandible. FNAC and ultrasound were done and both reported Pleomorphic adenoma. During surgery the swelling appeared as a pedunculated mass arising from tail of parotid. The mass was removed leaving behind the normal Parotid gland with intact facial nerve. Pedunculated lesions arising from the tail of the parotid gland can appear inextra parotid location. Therefore, the knowledge of parotid gland anatomy is essential.