BACKGROUNDSwelling in the head and neck region is always a diagnostic dilemma. Approximately, 7% of the swellings in head and neck regions turn out to be cases of epidermoid or dermoid cysts. Epidermoid cysts are known as benign, squamous epithelium-lined cystic spaces, they may occasionally contain skin adnexa (true dermoid cyst) or derivatives from all 3 germ layers (teratoma). We here present a case of a suprasternal cystic swelling in a 5-year-old girl, present since 3 years. The mass was soft, mobile and nontender. FNAC and USG were suggestive of a dermoid cyst. The cyst was excised under general anaesthesia. Histopathological examination confirmed it to be an epidermoid cyst. There was no recurrence over 6 months followup. This is an interesting case of epidermoid cyst in the suprasternal notch which is a very rare presentation and only few cases have been reported in literature.

BACKGROUNDPrimary involvement of larynx is rare, usually it occurs as secondary to pulmonary tuberculosis. The incidence of laryngeal tuberculosis is drastically reduced due to improvement in public health care and anti-tubercular treatment. On laryngoscopy, it often mimicks supraglottic malignancy, so it is better to take a biopsy and to do histopathological examination to confirm the diagnosis. MATERIALS AND METHODSA 31-year-old female patient presented to our OPD with a history of hoarseness of voice and odynophagia since 6 months. General physical examination is normal. Indirect laryngoscopic examination revealed an ulcerative lesion over the epiglottis, arytenoids and interarytenoid area. Oedema and hyperaemia are noticed over the supraglottic larynx. Vocal cords are mobile on both the sides. Direct laryngoscopy and biopsy is taken to confirm the diagnosis. RESULTSThe histopathological examination revealed hyperplastic squamous epithelium with epithelioid cells and Langhans giant cells. The patient is started on anti-tubercular treatment. CONCLUSIONAfter 6 months of treatment, patient became completely asymptomatic and the lesions disappeared. Tuberculosis of larynx should be suspected in cases presenting with hoarseness of voice and odynophagia mimicking a 'laryngopharyngeal malignancy.'