Observation 1: this was a 44-year-old woman, followed by iron deficiency anemia under iron supplementation, who developed an isolated swelling of the right parotid region, evolving for 5 months. Clinical examination: The patient was in good general condition, apyretic. The tumefaction was pretragal and measured 3cm of long axis, firm, well limited, mobile and painless, associated with multiple, hard and fixed homolateral jugulodigastric adenopathies. The controlateral parotid was with no particularities. There was no chewing discomfort, no trismus or endobuccal pus exit, no peripheral facial paralysis, and the upper aerodigestive tract was free. At Parotid MRI (Figure 1), the lesions straddled between the superficial and deep lobe of the right parotid, oval 20/15mm. It shows a nodule with low intensity T1 signal, and increased T2 signal, enhanced after Gadolinium administration, with presence of multiple homolateral, right jugulodigastric adenopathies. Its characteristics were suspicious of malignancy. The rest of the biological evaluation was normal. Chest x-rays showed no evidence of a possible chest location.The diagnosis of parotid cancer has been strongly suspected. To obtain histological evidence, we decided to perform a partial exofacial parotidectomy with dissection and preservation of the facial nerve (Figure 2). Anatomopathological examination of the resected mass (Figure 3) concluded a primary parotid and cervical lymph node tuberculosis. This was confirmed by definitive histological examination. The patient was put on anti-bacillary treatment (2RHZ/4RH) for six months, with significant improvement 6 months after the end of treatment.