Abstract
The differential diagnosis of cystic lesions in the upper part of neck and salivary region includes multiple benign and malignant conditions. Rarely, this may be the first manifestation of a malignancy like papillary carcinoma of thyroid. Here we are presenting the case report of a female patient with a cystic upper neck mass which was diagnosed as a benign salivary cyst clinically and on fine needle aspiration cytology. Histopathology however revealed it to be a malignant lesion harboring papillary carcinoma of thyroid. Subsequent examination of thyroid followed by a thyroidectomy also showed a tiny focus of papillary carcinoma in the right lobe. Therefore, while evaluating a cystic upper neck lesion a possibility of metastatic papillary carcinoma with extensive cystic change should be kept in mind, otherwise a misdiagnosis of benign cyst may result leading to an additional second surgery as was seen in the present case.
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