Tejaswi Gupta, Sanjay Kumar Kannaujia, Nishant Yadav, Neha Agarwal, Virendra Kumar
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Background: Epidermal inclusion cysts and lipomas are among the most common benign soft-tissue lesions encountered in the cervical region. However, their simultaneous occurrence at the same anatomical site is uncommon and may pose diagnostic challenges, particularly when preoperative investigations suggest a single pathology. Case Presentation: We report the case of a 48-year-old male who presented with a painless, gradually enlarging swelling in the lateral aspect of the neck. Clinical examination revealed a soft, mobile mass without overlying skin changes. Fine needle aspiration cytology (FNAC) suggested a single benign lesion. However, contrast-enhanced computed tomography (CT) of the neck demonstrated two distinct adjacent lesions, raising suspicion of dual pathology. The patient underwent complete surgical excision of the mass. Histopathological examination confirmed an epidermal inclusion cyst overlying a lipoma. The postoperative course was uneventful, and no recurrence was observed during follow-up. Conclusion: This case underscores the diagnostic limitations of FNAC in complex neck masses and highlights the importance of radiological imaging in preoperative assessment. Histopathological evaluation remains the gold standard for definitive diagnosis and exclusion of malignancy. Complete surgical excision is curative, with an excellent prognosis.
Tejaswi Gupta, Sanjay Kumar Kannaujia, Nishant Yadav et. al, Concurrent Epidermal Inclusion Cyst and Lipoma of the Cervical Region: A Rare Coexistence of Two Common Benign Lesions: A Case Report. J ENT Allied Sci 2026; 11(1): 33–37.
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| Received | Accepted | Published |
|---|---|---|
| April 20, 2026 | May 24, 2026 | June 30, 2026 |
Monday 27 July 2026, 14:05:38 (IST)
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| Received | April 20, 2026 |
| Accepted | May 24, 2026 |
| Published | June 30, 2026 |
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.