Hemangiomas account for 0.4-0.6% of all tumors of the parotid gland and most of them occur in children, never-theless in adults hemangiomas are very rare. We report the case of a 62 year old woman with a mass in the parotidright tail associated with fluctuating swelling episodes unrelated to meals and with a slowly progressive growth.The provisional diagnosis was a pleomorphic adenoma, so a right superficial parotidectomy was performed. Duringsurgery, the macroscopic appearance makes suspect a vascular lesion. The histopathological result was a cavernoushemangioma. The classic clinical presentation of a parotid hemangioma is an intraglandular mass associated or notwith skin lesions characterized by reddish macules and/or papules, and a vibration or pulsation when palpating theparotid region. In imaging tests, phleboliths could be observed which are very suggestive of a hemangioma or avascular malformation. In the absence of these signs, the diagnosis could be difficult, particularly in an adult due toits low prevalence, with about 50 cases reported worldwide. However a hemangioma should be considered in thedifferential diagnosis of parotid tumors in adults.
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