BMJ Case Reports 2012; doi:10.1136/bcr-2012-007805
  • Rare disease

An unusual cause of a lump in the parotid gland

  1. Hui Mei Cheng1
  1. 1Royal Perth Hospital, Perth, Western Australia, Australia
  2. 2Department of Otolaryngology, Royal Perth Hospital, Perth, Western Australia, Australia
  1. Correspondence to Dr Jae Hong Park, parja731{at}


We present a case of a 50-year-old man with a lump in the left parotid gland. A 4 cm soft mobile lump was identified in the left parotid gland clinically. CT of the parotid glands and neck was arranged confirming a 4 cm mass, predominantly situated within the superficial lobe anterosuperiorly but extending deep to the expected plane of the facial nerve. The positron emission tomography scan did not show distant metastasis. Complete excision of the tumour was achieved. Histological and immunohistochemical findings were consistent with Extraskeletal Ewing's sarcoma. He is undergoing chemoradiation therapy following surgery.

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