Abstract
Anterior neck masses, especially congenital neck masses are one of the most common causes of visits to an ENT specialist. Commonly encountered masses include thyroid swellings, thyroglossal duct cyst, lymph nodes, dermoid/epidermoid cysts, brachial cleft cysts, and lymphatic malformations. Hence a thorough clinical history and examination make an important part of evaluation supported by radiological and pathological correlation. Here we report a case of a 44-year-old male patient presenting with anterior neck swelling which was initially diagnosed as a thyroglossal cyst but on histopathological examination turned out to be an epidermoid cyst.