Three cases of metastasizing pleomorphic adenoma are described. All th
ree had a history of incomplete surgery of the primary tumour and seve
ral surgical procedures for local recurrences before systemic metastas
es became apparent. The histology of the primary tumour, recurrences a
nd metastases mere typical of pleomorphic adenoma. In view of the lack
of information in the literature, it is concluded that inadequate sur
gical procedures, such as incomplete surgery or enucleation, leading t
o multiple recurrences, appear to be a prerequisite for the developmen
t of systemic disease.