A wandering mystery: freely mobile ectopic pleomorphic adenoma clinically mimicking cervical lymphadenopathy

Ectopic pleomorphic adenoma is a rare entity. It usually originates from heterotopic salivary gland tissue. During an excision via surgery, the tumor ought to be excised completely with an intact capsule. We present a case of ectopic pleomorphic adenoma of the parotid gland in the neck. It was in the right jugulo-diagastric region and freely mobile. Cervical lymphadenopathy was the first clinical diagnosis. But, on investigations, it turned out to be pleomorphic adenoma. This case emphasizes that ectopic pleomorphic adenoma can be a differential diagnosis of neck swellings and needs meticulous surgical excision to prevent recurrence and malignant change.