All Subcutaneous Swelling with Punctum are Not Sebaceous Cysts

The most frequent benign lesion found in salivary glands is Pleomorphic-adenoma, which affects 90% of parotid glands and the remaining 10% of other salivary glands. Uncommon sites include the gingiva, cheeks, lips, and palate. Among minor salivary glands, pleomorphic adenoma occurs in the palate at a frequency of 43%, in the upper lip at 10.1%, and in the cheeks at 5.5%. It is very rare for pleomorphic-adenoma to develop on the outer aspect of the cheek. Here, we present a case of pleomorphic adenoma in the subcutaneous plane in the outer aspect of the left cheek in a 19-year-old boy. The overlying pimple mislead us to consider it as a sebaceous cyst.