Lipoma of parotid mimicking as pleomorphic adenoma

Lipomas are the most common benign mesenchymal tumors, arising in any location where fat is normally present in the head-and-neck region in adults. Lipoma of parotid gland is rare, hence, not often considered for differential diagnosis for parotid swellings. When there is any suspicion, computed tomography, and magnetic resonance helps in confirmatory diagnosis. We present a 27-year-old man with a swelling in parotid gland, which was diagnosed as pleomorphic adenoma on fine-needle aspiration cytology. Surgical excision of parotid gland is the management even though excision is challenging because of the facial nerve, which courses through the parotid gland. The postoperative histopathology revealed a lipoma, the clinical picture, radiological, and histopathological features of this case is being discussed here.