OBJECTIVE: Report made for cancer treatment cystic adenoid parotid gland in our service. CASE REPORT: JLG, female, 59 years old, attended in october of 2011, with right of complaint otalgia, there is a year associate to otorrhea, hearing loss and external uditory stenosis channel. In the examination, there was a tumor mass expansive, hardened, fixed and painful narrowing the external auditory and ivanding pinna, saving and ear lobe right. No other changes to the examination. Tomography of neck with contrast: "expansive tumor in the region of right parotid that extends the external auditory channel, without apparent bone erosion."Incision biopsy: "infiltration of connective tissue, and lymph noide. Poorly differentiated carcinoma recommended for carcinoma cystic adeois salivary gland". Made with radical surgical treatment total extirpation of the parotid tumor with safety margins, picking up all pinna, external auditory channel cartilage and parotid not being evindeced mastoid invasion and neither the facial nerve. For purposes of reconstruction, were filmed myocutaneous flaps for costs of cervical muscles and esternocledomastoid skin. If in an attempt to redo. The external ear channel with cutaneous flap neck was made and gaze tamponade terramycin. Helix were reconstructed lobe and together for not being committed by tumor as is confirmed by pathology, changing of the technique described total extirpation of the external ear. Accompanying the patient still in our clinic for control of radiotherapy and auditory stenosis channel. CONCLUSION: Considering the extent of tumor reported was chosen conservative surgical treatment described.