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Case 131: Lump below the ear

1. What is the diagnosis?

Warthin's Parotid tumour or adenolymphoma. These lesions are benign, are seen most commonly in elderly men and are bilateral in 10% of cases.

2. What are the options for treatment?

With this history of a lump which has not changed, become painful or resulted in facial nerve involvement, it could be observed. A resonable approach would be to obtain a needle biopsy to confirm a Warthin's tumour.