A giant angiolipoma of the neck: case report

Angiolipomas are relatively rare in the head and neck, are usually ˂4 cm in diameter, and may recur if not completely excised. We aim to describe a clinical case of a healthy 25-year-old man who presented with a large mass extending from the root of the neck to the skull base, adjacent to the major vessels, as demonstrated by a magnetic resonance imaging scan. The mass was excised under general anesthesia, with Careful avoidance of injury to the major vessels, which posed a challenge during the surgery. Pathology confirmed the diagnosis of angiolipoma. One year of follow-up showed no recurrence. In conclusion, angiolipoma can present as a giant cervical mass in close relation to the carotid sheath, requiring careful excision to avoid both injury and recurrence.