Metastasising pleomorphic adenoma is rare and may occur
years after surgical excision of a pleomorphic adenoma
(PA). We present a 61-year-old woman with a right
infratemporal PA with metastases to the cervical lymph
nodes after 30 years following a total parotidectomy. She
was treated successfully with a resection of the tumour with
combined neck and mandibulotomy approach along with
postoperative radiotherapy given subsequently.