Lipomas are common soft tissue neoplasms, but they are found rarely in the region of the parotid gland, and are observed in about 1% of tumors of the parotid gland. Deep lobe parotid lipomas are especially rare tumors. We present a 66-year-old woman with a deep lobe parotid lipoma treated by enucleation. We believe that this is only the sixth report in the literature of a lipoma in this location.
Magnetic resonance imaging (MRI) and fine needle aspiration were performed, and findings suggested a pre-operative diagnosis of lipoma. The fat suppression MRI technique suppressed the signal from the tumor and strongly confirmed the diagnosis.