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Carcinoma ex-pleomorphic adenoma of parotid gland presenting as a gigantic cervicofacial mass
  1. Bhupendra Mehra,
  2. Soumya Ghoshal,
  3. Siddharth P Dubhashi and
  4. Ateet Fulmali
  1. General Surgery, All India Institute of Medical Sciences Nagpur, Nagpur, Maharashtra, India
  1. Correspondence to Dr Soumya Ghoshal; ghoshalsoumya3{at}


When neglected for a long time, salivary gland pleomorphic adenoma (PA) can attain a considerable size, increasing the patient’s morbidity along with the risk of malignant transformation. Very few case reports are available describing PA of the parotid glands presenting as a large cervicofacial mass. We report a case of epithelial myoepithelial carcinoma —a rare subtype of carcinoma ex-PA (Ca-Ex-PA) of non-luminal differentiation, that developed over a long period in a primary PA of the parotid gland and presented as a giant cervicofacial mass.

  • Head and neck cancer
  • Head and neck surgery

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  • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: BM, SG, AF and SPD. The following authors gave final approval of the manuscript: BM and SPD.

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  • Competing interests None declared.

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