Objective: This paper reports a case of huge preauricular sinus mimicking parotid tumour to highlight the difficulty in obtaining a correct
Background and Case Report: This case describes a 51-year-old gentleman who presented with a huge, soft and painless swelling over
left parotid region which was progressively increasing in size over two years. The swelling appeared to push the left ear lobule upward and
on palpation, the swelling did not go beyond the zygomatic arch. Fine needle aspiration was unsatisfactory. Ultrasonography scan showed left
parotid tumour. The diagnosis of preauricular sinus was made only upon excision of the mass under general anaesthesia. Post operatively, the
recovery was good and there was no complication.
Conclusion: Though it is extremely rare, preauricular sinus should be considered as a differential diagnosis of painless soft parotid swelling.