Malignant parotid tumors are uncommon tumors.Although pleomorphic adenoma is the commonest benign tumor of the parotid accounting for 65% of tumors but malignant tumors are also seen frequently in parotid gland.Normally these tumors are slow growing Pulse Spacer with a long history of lump in the parotid gland.The rapid growth phase in these tumors indicate malignant transformation.
The involvement of facial nerve Vanity Set is a late symptom and denote advance stage.We are presenting a giant malignant tumor of the parotid gland measuring 22cm x 15cm in a lady of 50 years.To the best of our knowledge this is the biggest tumor reported so far in Pakistan.