this 8 year girl presented with a mass just above hyoid bone. Pus was drained using a small incision and the mass become very firm with antibiotics treatment and did not disappear. the mass was excised under general anesthesia. It was very adherent to surrounding structures and bleeding a lot. Cheesy material was present in the core of the mass. It was thought to be a sebaceous cyst or thyroglossal cyst during surgery. Histopathological study report came as tuberculosis.