Mucoepidermoid Resembling Squamous Cell Carcinoma In The Premaxilla: A Diagnostic Challenge

Salivary gland malignancy represents a rare yet diverse entity that covers a heterogenous spectrum of neoplasm of various clinical behavior, ranging from protracted, indolent to aggressive, life-threatening manner. Accurate histopathological diagnosis is imperative in terms of prognostication and further management planning. Herein, we report a case of an intermediate grade mucoepidermoid carcinoma of premaxilla masquerading as squamous cell carcinoma. Despite repeated biopsies, histological examinations failed to establish an accurate diagnosis. The patient eventually underwent wide surgical excision of the primary lesion with simultaneous bilateral supra - omohyoid neck dissection. Diagnosis dilemma encountered along with subsequent management are further discussed.