Giant lipoma of posterior neck

Lipoma is one of the most common benign mesenchymal tumors and is found almost in all sites where fat exists. This lesion is often asymptomatic except in cases of enormous masses compressing neurovascular structures. They are found relatively rarely on the posterior part of the neck. Surgical intervention in these tumors is very challenging because, sometimes, extension to the spinal cord and malignant transformation may occur especially in old age. Precise knowledge of the anatomy and meticulous surgical techniques are needed while operating such giant lipomas.