BACKGROUND: Improved survival seen in Acute Lymphoblastic Leukemia (ALL) cases has led to increased reports of second malignant neoplasms. CASE CHARACTERISTICS: A 12-year-old female treated for ALL using UK ALL XI protocol nine years back presented with progressively increasing pre-auricular swelling. OBSERVATION: Investigations revealed it to be a Mucoepidermoid carcinoma. MESSAGE: Mucoepidermoid carcinoma should be a differential in any parotid swelling of treated case of pediatric ALL.
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