DOI: 10.36347/sjmcr.2015.v03i05.028

Pages: 441-443

Epidermoid cyst is a intradermal swelling. It is a common benign swelling of the skin. Conventionally epidermoid cysts are generally small, slow-growing, non-tender, dome-shaped lesions. Giant epidermoid cysts reaching size of more than 5 cms is rare. Giant epidermal cysts have rarely been reported in literature. Herein we report a case of giant epidermoid cyst in the neck which grew to an extremely large size in for >35 years without inflammation or rupture. The patient had developed social anxiety and depression due to the cosmetic consequences of the large mass. Diagnosis was made based on the clinical examination, FNAC and computed tomography scan. Patient underwent surgical excision of the mass. There was no local recurrence after 1 year follow-up period and psychiatric symptoms resolved.