Patient Information: A 67-year-old female presented with a painless left pre-auricular swelling of 2-month duration which increased in size over that period. The patient was diabetic and hypertensive, and hence, was taking anti-diabetic and anti-hypertensive medications. Her past medical history aside from that was not significant. Clinical Findings: On examination, there was a painless, firm, and mobile mass with well-defined borders in the left parotid gland. No skin changes or ulceration over the mass were observed. Diagnostic Assessment: Hematological examinations revealed HbA1c of 7.7%, a blood sugar level of 227mg/dl, and an inflammatory marker (CRP) of 3.18 mg/l. On ultrasound examination, there was a well-defined hypoechoic solid nodule of about 33 × 27*11 mm in the left preauricular region. The nodule was in contact with the ramus of the mandible and showed malignant characteristics - along with a 7mm short axis lymph node seen in the left infra-auricular region without pathological sonographic characteristics. No obvious pathological lymph node was seen elsewhere in the neck. Fine needle aspiration cytology (FNAC) was performed which showed a giant cell-rich lesion that was highly cellular and contained a large number of osteoclast-like multinucleated giant cells with clusters of spindle and epithelioid cells (stroma) and a few lobulated benign-looking acini of parotid glands. The patient was sent for contrast magnetic resonance (MRI) imaging of the neck which revealed a single well-defined lesion in the superficial lobe in the left parotid gland measuring about 33 × 20 mm and showing a heterogeneous signal on T1 and T2, suggesting mostly pleomorphic adenoma. The right parotid gland was normal with bilateral benign-looking cervical lymph nodes of 6mm in the short axis - with normal submandibular and thyroid glands. The pharynx and larynx were normal. Therapeutic Intervention: Superficial-deep parotidectomy was performed on the patient. The result of histopathological examination revealed a giant cell tumor of 3.4 cm without any lymph node involvement (). The tumor resection margin was 1.5 cm. After the operation, the patient was sent for radiotherapy. Follow up: the patient was well and healthy six months after the operation.