Ancient Neurilemmoma with Deceptive Clinico-Pathological Presentation – A case report

Neurilemmomas are uncommon tumors of parotid gland. They have a varied clinical presentation and are often misdiagnosed as other common benign salivary gland tumors. In this article a case is described which clinically presented itself as a Pleomorphic adenoma and wherein the histopathology revealed it to be an Neurilemmoma. The innocuous degenerative changes seen within the tumor thus being referred as “Ancient” could have been easily mistaken for malignancy and hence the emphasis made here to recognize this tumor for its deceptive appearance both clinically and histopathologically.