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Clinical Problem Solving
March 2014

A Mass on the Nasal Dorsum

Author Affiliations
  • 1University of Kentucky Medical Center, Lexington
JAMA Otolaryngol Head Neck Surg. 2014;140(3):267-268. doi:10.1001/jamaoto.2013.6189

An elderly man with a history of multiple skin cancers of the face presented with a 4-month history of a mass on the nasal dorsum. Findings from a biopsy of the lesion performed at an outside facility were consistent with squamous cell carcinoma (SCC). Three years prior, the patient underwent 2 excisional biopsies of a mass at the same location showing infiltrating moderately differentiated squamous cell carcinoma with acantholytic and pseudoglandular features. The lesion extended into the papillary dermis at the base of the excision. There was no endolymphatic or perineural invasion. A third excision performed later failed to demonstrate any disease.

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