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Intraparotid lipoma: a diagnostic perplexity


Lipoma, a benign tumor composed of mature adipocytes, rarely makes clinicians inquisitive as it has an excellent prognosis. It is interestingly the most common and less concerned mesenchymal tumor in the adult age group. Mostly, reported in subcutaneous tissue but can be deep-seated also. However, lipoma at unusual locations like the parotid gland are often less studied and account for up to 0.6-4.4% of all documented benign parotid gland tumors. A 58-year-old female presented with a complaint of right cheek swelling which was insidious in onset, progressively increasing in size, and painless with no history of dysphagia or odynophagia. Local examination revealed a soft mobile mass with an intact facial nerve function test. Fine needle aspiration cytology of the lesion revealed findings of lipoma. The patient underwent surgical excision for the same after confirmation with radiology. Histopathology of the resected tumor confirmed features of an intraparotid lipoma. Thus, an accurate sequential approach can help plan for definitive surgery and tumor removal without risk of recurrence.


benign, lipoma, parotid gland