We present here an unusual case of desmoplastic melanoma recurrence with an atypical presentation involving the parotid gland with an intracranial extension. DM is a rare variant of malignant melanoma that accounts for 1%–5% of melanomas with a tendency toward local recurrence. Commonly, DMs appear in sun-exposed regions of the skin, particularly the head and neck area with a slight male predominance. The high incidence of local recurrence after excision of the primary tumor has been attributed to clinical misdiagnosis, advanced stage at the time of diagnosis, and inadequate surgical excision. It is one of the main causes of clinical and histological misdiagnosis. Our case proves that DM can be a diagnostic challenge for clinicians and highlights
