Abstract: To report a case of upper bronchogenic cyst, and analyze its clinical manifestations, imaging, cytology and pathological features combined with literature data, in order to provide a reference for clinical diagnosis and differential diagnosis. Bronchogenic cysts are very rare in the upper part of the neck. The symptoms and signs are similar to the common cervical masses. It is difficult to identify, and easily be misdiagnosed as branchiogenous cyst, lymphatic malformation, sublingual cyst and other diseases before surgery.

Key words: Bronchogenic cyst, Branchiogenous cyst, Lymphatic malformation, Sublingual cyst