Recurrent pleomorphic adenoma of the parotid usually occurs in the dis
tribution of the primary procedure. There are numerous reports of wide
spread local recurrence and a few reported cases of distant metastases
. Extensive seeding throughout the entire ipsilateral neck is rare. Tr
eatment involves a combination of radical surgery and radiotherapy. Th
e potential for malignant transformation demands close follow-up of yo
unger patients particularly.