# A Serendipitous Histopathological Revelation: An Intriguing Case Report of a Cystic Schwannoma of the Lateral Neck

## TL;DR

This case report describes a rare cystic schwannoma in the neck of a 45-year-old woman, highlighting the challenges in diagnosing such tumors.

## Contribution

The paper presents a unique case of a cystic schwannoma with a focus on diagnostic difficulties and the importance of histopathological confirmation.

## Key findings

- Cystic schwannomas are rare and can mimic other cystic neck lesions, leading to diagnostic challenges.
- Histopathological examination is essential for confirming the diagnosis of cystic schwannomas.
- Accurate diagnosis is crucial to prevent recurrence and ensure appropriate treatment.

## Abstract

Schwannomas are rare, benign tumors that arise from Schwann cells, which produce the myelin sheath around peripheral nerves. Cystic degeneration is an uncommon feature of schwannomas, occurring in approximately 4% of cases. The diagnosis of cystic schwannomas can be challenging due to their rarity and nonspecific clinical and radiological features.

A 45-year-old female presented with a two-year history of a gradually enlarging neck mass, which was initially suspected to be a branchial cleft cyst. Computed tomography (CT) scans showed a well-defined cystic lesion in the left supraclavicular region. The patient underwent ultrasound-guided fine-needle aspiration cytology (FNAC), which yielded hypocellular fluid. The patient underwent surgical excision of the mass, which was subsequently diagnosed as a cystic schwannoma based on histopathological examination.

Cystic schwannomas can pose a diagnostic challenge due to their rarity and nonspecific clinical and radiological features. Awareness of the clinical and pathological features of cystic schwannomas is essential for timely diagnosis and effective treatment. Accurate diagnosis is crucial to ensure optimal management and prevent recurrence.