Leiomyoma occurrence in the head and neck is rare. Vascular leiomyoma usually occurs in the skin of the limbs. Survey of the literature also revealed that there was no case of vascular leiomyoma in the parotid gland reported in Japan. A 50-year-old man with vascular leiomyoma which developed from the parotid gland was reported. The chief complaint of this patient was a painless preauricular mass on the right side. The tumor was a solitary mass of quail-egg size with round and smooth surface, elastic soft consistency and not tender. The tumor was completely removed under general anesthesia. This patient has been well without recurrence 5 years after operation.

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