Giant neck cyst not only a surgical concern

Epidermoid cysts are slow-growing, usually benign lesions that derive from an abnormally located ectodermal tissue. Epidermoid cysts can appear anywhere on the body; they are usually small and frequently asymptomatic. Giant cysts are rare, with few cases ever described. We report a case of a 66-year-old male, with a giant mass in the neck that developed over the last 10 years. Due to geographic limitations and lack of access to health care, he allowed the mass to grow to giant proportions. Surgical treatment was decided, and the patient underwent full recovery. Giant epidermoid neck cyst was the final diagnosis.