Pleomorphic adenoma - deep parotid gland

Discussion:

The patient underwent parotidectomy and excision of this mass. 

Histology: pleomorphic adenoma

MRI allows precise topographical localization of the mass and diagnosis in the majority of cases. 

This case had classic MRI characteristics of pleomorphic adenomas which are: 

  • well-circumscribed borders
  • complete capsule
  • lobulated contour
  • high T2 signal intensity 
  • inhomogeneous contrast enhancement 
  • no lymphadenopathy
  • no invasion/infiltration into surrounding structures
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