Kaposi’s sarcoma results from proliferation of endothelial cells of lymphatic or vascular tissues. Its clinical presentation is quite variable and is usually correlated with AIDS. A 50-year-old man presenting with a right neck mass for several months visited our hospital in July, 1998. The CT scan showed a parapharyngeal mass about 5x4x3cm. The neck mass was excised and the pathology revealed Kaposi’s sarcoma in the lymph node. After a series of examinations, no other manifestations or HIV infection was found. Primary Kaposi’s sarcoma of a lymph node was our impression. This patient was followed up at our out-patient section without recurrence. Solitary Kaposi’s sarcoma in a neck lymph node without other manifestations is quite unusual and reports of this presentation are also rare.