Management and Outcome:
The specimen’s histopathology revealed a cyst with a stratified squamous epithelium lining that contained keratin (Figure 3). Histopathology has not revealed any malignant changes. The patient was intubated under general anaesthesia an oblique elliptical incision was made around the swelling. Incision deepened up to the cyst wall and a total skin flap was excised from the cyst and underlined muscle and haemostasis was achieved. Romovac drain was inserted and the skin was closed with Ethilon 2-0 mattress sutures(Figure 4). After the cystic mass has been removed, excess skin is removed to promote primary closure and aesthetic improvement. A day after surgery, the patient was released, and on the third day of follow-up, there were no complaints. On the tenth postoperative day, the stitches were removed after the wound healed without any complications. At the follow-up examination at regular intervals of 15 days, the authors found no local recurrence of the lesion.