Malignant mixed tumor of salivary gland with a solitary metastasis to the tibia

A 23-year-old, male patient previously operated on four times for a recurri ng, benign, paranasal mass was admitted to our clinic with pain and swellin g under the knee. Physical and radiological examination revealed a malignan t process. The histopathological examination of the fine-needle biopsy spec imen of the tibia was a malignant mixed tumor. Then, en-bloc resection, fre e fibular grafting, and fixation with blade plate was performed for one-thi rd of the tibia, conserving the knee joint. Recurrences and metastasis were not observed after surgery and radiotherapy.