Pilomatrixoma masquerading as a parotid mass

A case report of pilomatrixoma masquerading as a parotid, tumor is presented. Although well known to dermatologists and knowledgeable pathologists, this is, to our knowledge, the first time this entity has been presented in the otolaryngologic literature. Radiographic, sialographic, and histopathologic features of this tumor are presented with differential diagnoses. Because this is strictly a benign lesion, treated by local excision, the importance of correct histopathologic diagnosis is emphasized. The ultimate intent of this report is to make otolaryngologists aware of this entity so that they might include it in the differential diagnosis of calcified masses presenting in the parotid region.