Lipoma of the Left Parotid Gland in a 38-Year-Old Male

A 38-year-old male presented with a one-and-a-half-year history of left infra-auricular swelling. The mass was slow-growing, painless, and not associated with erythema or systemic symptoms. There was no history of fever, weight loss, night sweats, or constitutional complaints.

Past Medical and Surgical History: The patient had no significant past medical history. His past surgical history included an appendectomy performed without complications. He reported no known drug allergies (NKDA). He denied any history of recent flu-like illness. The patient was a smoker.

Preoperative Workup

Routine preoperative assessment, including hematologic and biochemical investigations, revealed no abnormalities. Viral screening tests were negative. The patient was deemed fit for surgery.

Surgical Management

The patient underwent excision of the left parotid gland lipoma under general anesthesia. He was positioned supine with the neck extended. A modified lazy-S incision was made over the left parotid region. The parotid gland was carefully dissected, and the lipomatous lesion was excised. The facial nerve and its branches were meticulously preserved. Hemostasis was achieved, and a corrugated drain was placed. The wound was closed in anatomical layers. The procedure was completed without intraoperative complications.

Histopathology Report

Microscopic examination of the specimen revealed mature adipose tissue consistent with a lipoma. Surrounding salivary gland tissue was unremarkable. No evidence of malignancy was identified.

Final Diagnosis: Lipoma of the left parotid gland.