Diagnostic Conundrum and Treatment Dilemma in a Cystic Lesions of Parotid: A Case Report

Cystic lesions of the parotid gland present diagnostic challenges, especially when FNAC is inconclusive. This case highlights the need for a multidisciplinary approach and histopathological confirmation. A 25-year-old male with a recurrent left parotid cyst underwent excision biopsy, confirming a lymphoepithelial cyst. Recurrence after two years revealed a multiloculated cystic mass with solid components. Despite FNAC and sclerotherapy, persistence led to superficial parotidectomy, with final HPE diagnosing intermediate-grade mucoepidermoid carcinoma. Adjuvant radiotherapy was administered, with no recurrence on follow-up. FNAC alone may be insufficient for diagnosis, reinforcing histopathology as the gold standard. Comprehensive evaluation and multidisciplinary management are essential for optimal outcomes in complex parotid lesions.