Compressing dermoid cyst of the neck

December 1, 2015

Palade O.D. 1, Catalina R. 1, Cobzeanu M.D. 1, Alina O. 2, Miorita T. 2, Toader C. 3
1 University of Medicine and Pharmacy, ‘Grigore T. Popa’ Iasi, Romania
2 Emergency Clinical Hospital for Children, ‘Grigore Alexandrescu’, Bucharest, Romania
3 National Institute of Cerebrovascular Disease, Bucharest, Romania

Abstract

Neck masses always require an extensive differential diagnosis, including both benign and malignant etiologies. Therefore an accurate diagnosis is of paramount importance and three broad categories should be taken into account: congenital, inflammatory and neoplastic. In particular, congenital lesions are usually midline, nontender, mobile, submental neck masses. For example dermoid cysts are due to entrapment of epithelium in deeper tissue, occurring either developmentally or post trauma. They are treated by surgical excision. The authors report a clinical case presentation of dermoid cyst in the midlevel lateral cervical area which, beside the usual symptoms, adds cardiovascular and respiratory symptomatology by compression.