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Abstract Parotid lesions in childhood are most likely to be inflammatory in origin, most commonly seen is the infectious disease mumps. However it must also be considered that, although infrequent, salivary tumours can and do occur in the young, although they would be expected to be seen in middle-aged patients (Forty and Wake, 2000). Compared with adults, parotid tumors in children are less common, but it should be emphasized that the frequency of primary malignant tumors is higher in children than in adults. Benign masses of the parotid gland in children can be divided into vascular and non vascular lesions. Vascular lesions such as Haemangioma and Lymphangioma are the most common benign parotid neoplasm. Mixed tumor (pleomorphic adenoma) is the most common benign non vascular epithelial parotid tumor in children (Orvidas et al, 2000). Benign neoplasms of the parotid in pediatrics, typically enlarge slowly and are freely mobile. Pain is not usually associated with benign tumors but may occur if there is infection, hemorrhage, or cystic enlargement (McGill and Wu, 2002). Malignant parotid neoplasms tend to occur at a younger age (average 5.3 years) than benign and low grade malignant tumors (average 9.5, 9.7 years respectively) (Azizkhan and DeCou, 2003). |