Background and Objectives: Squamous cell carcinoma (SCC) and basal cell carcinoma (BCC) of scalp and face are more prevalent carcinomas. These carcinomas frequently invade parotid region and upper face, hence need more investigations. The aim of this study was to investigate the effect of surgery on the treatment of malignant metastatic neoplastic disease of the parotid lymph node with or without radiation, excluding those with primary salivary gland tumor.Materials and Methods: Retrospective review of 20 patients, admitted in Imam Khomeini hospital with malignant parotid lymph nodes from primary cutaneous malignancies or lymphoproliferative disorders, was undertaken for study. The patients case files were reviewed and tabulated for age, gender, histopathological report, treatment and it’s outcome.Results: Out of 20 patients which met the criteria for the study, 16 of them had neoplastic nodes from cutaneous malignancies, 13 were observed with squamous cell carcinoma, two had metastatic neoplasm from melanoma, and one was having metastatic neoplastic node from basal cell carcinoma. Four patients showed neoplasm involvement from lymphoproliferative disorders.Conclusion: Metastatic disease of the parotid nodes or direct extension of primary cutaneous malignancy to nodes demonstrated a poor prognosis in this series, thus prognostification of lymphoproliferative disorders is more favorable.