Intermittent facial spasms as the presenting sign of a recurrent pleomorphic adenoma

Figure 1 Axial computed tomography of the neck with contrast demonstrates oval shaped enhancing lesion of the left parotid gland deep to the left ramus of the mandible, centered at the left stylomandibular tunnel. A: The lesion measured 9 mm × 7 mm × 8 mm in 2007; B: The lesion measured 3.1 cm × 2.8 cm × 4.5 cm in 2015.

Figure 2 A 5. 2 cm pleomorphic adenoma (circle) with a multinodular growth pattern and well-circumscribed neoplastic nodules with variable sizes were embedded in fibroadipose tissue (arrows).

Figure 3 2015: Showing new extension into the left stylomastoid foramen not present on the examination of 2007.