We present a 73-year-old female with an enlarged mass in the right parotid
gland. Fine-needle aspiration cytology suggested pleomorphic adenoma. Diagn
ostic imaging revealed that the tumour had a well-defined margin arising fr
om the deep lobe of the parotid gland. A total parotidectomy with preservat
ion of the facial nerve mas performed. The final histopathological diagnosi
s including immunohistochemical studies was basal cell adenocarcinoma, whic
h is a recently defined entity and a rare epithelial neoplasm. No sign of l
ocal recurrence or metastasis 24 months postoperatively has been observed.
(C) 1998 Tohoku University Medical Press.