Malignant salivary gland neoplasms constitute approximately 1% to 3% of all head and neck malignancies and only 0.3% of all malignant neoplasms. Malignant mixed tumors represent 2.2% of all salivary gland tumors. We experienced a huge malignant mixed tumor in the parotid gland, and obtained good results after surgical excision of the parotid gland and reconstructive operation. Therefore, we report on our experience and review the articles related to that tumor.