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Emily Co Chay Lay, BSc, MD, DDSc, MSc; Richard Motley, MA, MD, FRCP; Peter Laidler, BM, BCh, DM, FRCPath
University Hospital of Wales, Cardiff

Arch Dermatol. 2006;142:1221-1226.

	Since this article does not have an abstract, we have provided the first 130 words of the full text and any section headings.

REPORT OF A CASE

A 17-year-old male adolescent presented with a painless, gradually enlarging lesion overlying the upper part of his sternum. The lesion, which did not move with swallowing, had been present since birth. Physical examination revealed a round, well-circumscribed, soft, fluctuant, nontender swelling, 5 cm in diameter, just below the sternal notch (Figure 1). An ultrasound scan showed a cystic swelling containing mobile debris that appeared to be confined to the subcutaneous tissues.

Figure appears in full text version. Figure 1.

A "necklace" incision was made over the cyst, which was then removed by blunt dissection. Histologic sections were stained with hematoxylin-eosin (Figure 2 and Figure 3).

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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Arch Dermatol. 2006;142(9):1221-1226.
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