A wandering mystery: freely mobile ectopic pleomorphic adenoma clinically mimicking cervical lymphadenopathy

Kavita V. Jadhav; Gadi Venkatesh; Rukmini P. Waghmare; Shubham Akotkar; Zainab Engineer; Ashwini Natekar

doi:10.18203/2349-2902.isj20251195

Authors

Kavita V. Jadhav Department of General Surgery, Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India
Gadi Venkatesh Department of General Surgery, Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India
Rukmini P. Waghmare Department of General Surgery, Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India https://orcid.org/0009-0005-0749-2225
Shubham Akotkar Department of General Surgery, Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India
Zainab Engineer Department of General Surgery, Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India
Ashwini Natekar Department of Pathology, Grant Government Medical College and Sir J.J Group of Hospitals, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20251195

Keywords:

Neck, Ectopic pleomorphic adenoma, Heterotopic salivary gland tissue, Lymph node

Abstract

Ectopic pleomorphic adenoma is a rare entity. It usually originates from heterotopic salivary gland tissue. During an excision via surgery, the tumor ought to be excised completely with an intact capsule. We present a case of ectopic pleomorphic adenoma of the parotid gland in the neck. It was in the right jugulo-diagastric region and freely mobile. Cervical lymphadenopathy was the first clinical diagnosis. But, on investigations, it turned out to be pleomorphic adenoma. This case emphasizes that ectopic pleomorphic adenoma can be a differential diagnosis of neck swellings and needs meticulous surgical excision to prevent recurrence and malignant change.

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