# Painless Nodular Cheek Skin Swelling: A Clinical Challenge

## TL;DR

A case of a skin swelling in the cheek is described, which was diagnosed as a rare type of cancer after surgery.

## Contribution

The paper presents a unique case of basaloid neoplasm confirmed as basal cell adenocarcinoma post-surgery.

## Key findings

- A basaloid neoplasm was found in the left parotid gland.
- Postoperative histopathology confirmed it as basal cell adenocarcinoma.
- Cytological diagnosis of such tumors is challenging due to morphological overlap.

## Abstract

Basaloid neoplasms of the head and neck region pose a specific challenge both for clinicians and pathologists. It is a diverse group of neoplasms that include benign as well as malignant entities. These neoplasms can arise from various head and neck subsites such as skin, salivary gland, and sinonasal tract. Cytological diagnosis of these tumors is extremely difficult due to morphological overlap with other biphasic tumors and within the basaloid group itself. Here, we are presenting a case of basaloid neoplasm which turned out to be a basal cell adenocarcinoma of the left parotid gland on postoperative histopathological examination.