[Exophytic tumor of the parotid gland].

An 81-year-old male patient presented at our department with a large (diameter 10 cm), exophytic lesion in the right parotid region. Magnetic resonance imaging showed the tumor to derive from the lateral part of the parotid gland. We performed complete tumor resection with selective ipsilateral neck dissection. The facial nerve could be preserved. The postoperative course was uneventful. Histopathologic and immunohistochemical examinations revealed a malignant fibrous histiocytoma. We present the diagnostic and therapeutic options of this unusual malignancy of the parotid gland.