Angiomyolipoma is a hamartomatous process that most frequently occurs as a
single lesion or multiple foci in the kidneys of patients affected by tuber
ous sclerosis. Angiomyolipoma can also arise in extrarenal sites, among whi
ch the liver is the most frequently recorded. Only rare cases of angiomyoli
poma located in the head and neck region tear and oral and nasal cavity) ha
ve been described. The purpose of the present article is to report a case o
f angiomyolipoma of the parotid gland. A 68-year-old woman appeared for tre
atment with a slow-growing nodule located in her right parotid gland. Ultra
sound examination revealed a heterogeneous nodule with well-defined margins
. The nodule was surgically removed by total parotidectomy and showed the c
haracteristic appearance of angiomyolipoma, with an admixture of fat smooth
muscle cells, and tortuous, thick-walled blood vessels. Careful physical e
xamination of the patient failed to reveal features of tuberous sclerosis.
Angiomyolipoma should be considered in the differential diagnosis of mesenc
hymal lesions involving the salivary gland.