Castleman disease (CD) is a rare lymphoproliferative disorder of unknown aetiology. It
manifests in two distinct clinical presentations: unicentric and multicentric. Unicentric CD is rare
and may present as an isolated neck mass. A 22-year-old man presented with a 6-month history
of right neck swelling that occupied the posterior triangle of the right neck region. After surgical
exploration, a solitary, well defined, and hyper vascular mass was excise. A histopathological
examination confirmed the lesion as CD, hyaline-vascular variant. CD of the neck is a diagnosis
that is usually not taken into consideration while evaluating neck masses due to its rarity and
unassuming presentation. It should be keep in the differential diagnosis of neck masses as the
clinical and radiological features evade a firm diagnosis. The treatment of unicentric CD is
complete surgical excision, which cures the patient.