Unusual pathology presented as neck lump

ABSTRACT

Neck lump is a common presentation in the outpatient clinics of otolaryngology, Head and Neck Surgery. It can be diagnosed on the basis of history, clinical examination, investigations and categorized according to the age of presentation. We present a case of young adult girl who had rightsided neck lump since four years. On the basis of fine needle aspiration cytology [F.N.A. C], she was diagnosed as a case of cervical chronic granulomatous inflammation consistent with tuberculosis. She was prescribed antituberculous treatment [A.T.T.] for 09 months but the swelling persists without any change. Excisional biopsy of the neck lump was performed and the histopathology revealed Histiocytoma Cutis, a variant of benign fibrous histiocytoma also called Fibrous Xanthoma or Xanthoma Cutis. Extensive English medical literature search on net revealed it to be a rare pathology which, to the best of our knowledge, has never been reported in locoregional literature and very rare over the globe