Very few cases of parotid oncocytoma have been reported in literature. Because of its rarity (1% of salivary gland tumors) and clinical presentation of the tumor, there is a tendency among the clinicians to misdiagnose it as pleomorphic adenoma, hemangioma, or other forms of oncocytosis. Only a histopathological examination can confirm it. We evaluate here a case of swelling of the parotid gland in a 70-year-old male who had the tumor for over 9 years to reach a diagnosis. Furthermore, our aim is to bring to the forefront how these lesions require a comprehensive workup and how to choose the best treatment strategy.
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