Giant Parotid Pleomorphic Adenoma with Atypical Histological Presentation and Long-Term Recurrence-Free Follow-Up after Surgery: A Case Report and Review of the Literature

Figure 1

Preoperative clinical photograph of the right preauricular swelling. (a) Right lateral facial view shows the swelling extending superoinferiorly from a point anterior to the helix of the external ear until the lower border of the mandible; anteroposteriorly, the swelling is seen extending from the angle of the mouth to the posterior border of the mandible; the ear lobe is deflected outward and elevated, and the skin overlying the swelling appears free of any ulceration, puckering, or discharge. (b) Frontal facial view shows the swelling causing facial asymmetry and obliterating the view of most of the right external ear; there is no clinical evidence of facial nerve weakness or deficit.

(a)

(b)