A cystic lesion with fibrotic wall and lining by hyperkeratotic stratified squamous epithelium. Lumen of cyst is full of keratin flakes. No evidence of specific granulomas. No evidence of malignancy.
Neck lump
Soft tissue fragment measured 2x1.7x1.3 cm, showing cyst 1.8x1.5 cm, filled with brownish material.
Neck swelling, excision: