Tumors of the accessory parotid gland are rare and often misdiagnosed because of their anterior location and proximity to the facial nerve. We report a case of pleomorphic adenoma arising from the accessory parotid gland in a middle-aged man presenting with a mid-cheek swelling for 20 years. Magnetic resonance imaging demonstrated a well-circumscribed lesion along Stensen's duct. Complete surgical excision was achieved with preservation of facial nerve function. Awareness of this uncommon entity and appropriate surgical planning are essential to ensure optimal outcomes.
Tenneti et al. (Sun,) studied this question.