Abstract
Pleomorphic adenoma is the most common type of all benign and malignant salivary gland tumors, involving more frequently the parotid gland. It is a benign painless and slowly growing tumor that if not treated, can continue growing to reach a massive size. We report a case of a giant pleomorphic adenoma of right parotid gland in a 25-year-old mentally challenged female, being the largest in size to be excised in Saudi Arabia in recorded literature measuring 18 × 17 × 11.5 cm and weighted 1.5 kg. Clinical examination revealed a giant mass on the right side of the face without any sign of facial nerve injury. The tumor was excised by superficial parotidectomy with preservation of the facial nerve. The patient was followed up to 1 year with good postoperative results and no signs of facial nerve injury or recurrence. Neglect, lack of information, or medical resources and fear of surgery allow such tumors to grow bigger in size which might complicate the treatment and increase the risk of malignant transformation.
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