Coincidental Tumors in the Main and an Accessory Parotid Gland

Introduction.We are presenting a rare case of a patient whodeveloped simultaneous tumors in the main parotid gland (MPG) andan accessory parotid gland (APG). The APG tumor was not recognizedwhen the more prominent MPG tumor was excised. We will discuss theclinical features of this case.Case presentation. A 66-year-old womanwas referred to our department with a painless right cheek mass. Herpast medical history was notable for a right MPG tumor excision at theage of 62. A retrospective review of the original MRI films revealedthat a small APG tumor was present prior to the removal of the MPGtumor. Conclusion. Although the coincidental presence of the MPGand APG tumors is quite rare, this case shows the importance of iden-tifying the smaller and potentially more sinister lesion involving theAPG when it is present while preparing for the MPG tumor excision.