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Introduction Nuchal fibroma or collagenosis nuchae is a rare benign tumour. It is a slow growing neoplasia of unknown etiogenesis, asymptomatic and of variegated histology. They are more common in males but our case was a female patient. The presentation may mimic sarcoma at times. Case Report An unusual case of a very large neck mass in a 62 years old female patient is reported. The growth involved the dorso-cervical region over a period of approximately 8  years but remained asymptomatic. The mass was excised and post excision histopathology was reported as nuchal fibroma. Discussion The case reported is large compared to the usual size of nuchal fibroma. Association with diabetes mellitus and Gardner’s syndrome has been reported in literature. MRI is the imaging of choice to establish the differential diagnosis.