An eyelid swelling with a parotid mass.

Accepted 12 December 1995 A 45-year-old woman presented with a left upper eyelid mass, first noticed five years earlier. The mass had been excised initially but recurred within nine months. For the last year, the patient had noticed a painless, progressively increasing swelling in the left parotid region. Examination revealed a 3 x 2 cm nontender mass in the left upper eyelid with conjunctival congestion (figure). The mass was subcutaneous in location and adherent to the overlying scar of previous surgery. Visual acuity was normal. There was also a 10 x 8 cm firm nontender mass in the left parotid area. Facial nerve function was not impaired. Liver function tests (serum alkaline phosphatase, alanine transaminase, aspartate transaminase and bilirubin), chest X-ray and ultrasound scan of the liver were normal.