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May 2013

A Rapidly Enlarging Nodule on the Dorsal Aspect of the Nose—Diagnosis

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD; LORI D. PROK, MD

JAMA Dermatol. 2013;149(5):609-614. doi:10.1001/jamadermatol.2013.2081b

Maxillofacial computed tomography revealed a soft-tissue mass involving the midline nasal bridge and causing mild mass effect on the bilateral frontoethmoidal recesses. Fat density measurement was consistent with a dermoid cyst. Magnetic resonance imaging revealed no definite intracranial or intraorbital extension. The patient was referred to the ear, nose and throat department, where a combined open and endoscopic rhinoplasty was performed. Histopathological examination of the surgical specimen revealed a cyst filled with keratinous debris and lined by a stratified squamous epithelium with a granular layer and associated pilosebaceous structures. The patient recovered fully from surgery.

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