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The metastasizing pleomorphic adenoma (MPA) is defined as histologically benign pleomorphic adenoma that exhibits local or distant metastases. It constitutes an extremely rare group of tumors. Most patients have a history of atleast one recurrence prior to the detection of local or distant metastasis. Although the exact pathogenesis remains elusive, hematogenous and lymphatic spread are proposed theories. Mortality in these cases can be as high as 22% thereby necessitating early diagnosis. Finedoi:10.5281/zenodo.3952339 fatcat:vsehcnam7fbqrk2hnqii45hwle