Tick Mistaken as a Mole

Abstract

Lipomas are among the most common mesenchymal neoplasms in humans, which occur more frequently in mature adults aged between 40-60 years old. Lipomas can arise from any part of the body where normal fat is present. The neck lipomas are rare tumors. Most lipomas are small, weighing only a few grams and measuring less than 2 × 2 cm. They usually remain asymptomatic and appear simply as a located mass that causes cosmetic concerns for the patient. Lipomas are typically slow-growing tumors; only a few grow to an exceptionally large size. A giant lipoma was defined as a lesion that measures at least 10 cm in one dimension. Most lipomas do not present any difficulty in diagnosis. The treatment of choice of cervical lipomas is surgical removal. We here present a case of a giant anterior neck lipoma with a progressive increase in the swelling, retropharyngeal localization, with pain, dyspnea, dysphagia and dysphonia reported.