Abstract： Objective To investigate the method of improving diagnosis accuracy and recovery rate of parotid glandneoplasm.Methods A retrospective analysis on 138 cases of parotid gland neoplasm from 2005 to 2008 with a confirmed pathologic diagnosis was carried out.All the patients underwent superficial parotidectomy or extensive superficial parotidectomenl or total parotidetomy.Selective or function neck dissection was carried out in some cases.Postoperative radiotherapy was performed in all malignant cases.The patients were followed-up for 2-5years.Results There were 112 benign cases and 26 malignant cases.Only one benign tumor locally recurred.The localregional control rate of the benign tumor was 99.1％.The 3-year survival rate and local-regional control rate in malignant neoplasm were 69.2％ and 88.5％.The cervical lymph nodes metastasis rate was 19.2％ in postoperative pathologic study.Conclusion Surgery is still the first choice for parotid gland neoplasm; the surgical pattern should be chosen according to the situation of different patients.