Question

Parotid mass mixed consistency

• A. Pleomorphic adenoma
• B. Sebaceous cyst
• C. Dermoid cyst
• D. All

Answer 1

The Correct Option is A

A parotid mass with mixed consistency can often be attributed to a specific type of tumor in the parotid gland. The key characteristics and options should be evaluated to identify which condition commonly presents as a parotid mass with mixed consistency.

Pleomorphic Adenoma: This is the most common benign tumor of the parotid gland, known for having mixed consistency due to its diverse histological components, including epithelial and mesenchymal elements, giving it mixed solid and cystic areas. Therefore, it can definitely present as a mass with mixed consistency.

Sebaceous Cyst: Generally, these are simple cystic lesions filled with sebaceous material. They exhibit a more uniform consistency and typically occur on the skin rather than within the parotid gland.

Dermoid Cyst: Contains elements of skin and subcutaneous tissues, generally more consistent in nature and not typically found in the parotid region.

Therefore, taking into account the location and the nature of the mass, it is highly indicative of a pleomorphic adenoma when a mixed consistency is observed in a parotid mass.

Option Analysis:

Option	Characteristics
Pleomorphic adenoma	Mixed consistency due to diverse tissue composition.
Sebaceous cyst	Uniform consistency, not typically parotid.
Dermoid cyst	Usually uniform, not parotid in origin.
All	Not applicable, only one correct option fits.

Therefore, the correct answer is:

Pleomorphic adenoma