A 49-year-old woman presented with a 6-month history of right-sided epiphora and a slowly enlarging palpable “bump” on the right side of her nasal wall. She had no remarkable medical history and denied any bloody drainage or pain related to her eye or nose. She also denied using alcohol or tobacco. She was in good health otherwise and had no constitutional symptoms. Physical examination revealed a 2-cm firm, smooth, nontender mass at the right nasal side wall. The mass was nonmobile, and there were no overlying ulcerations or skin changes. The patient's extraocular movements were intact, and there was no afferent pupillary defect. Some ipsilateral epiphora was present. Nasal endoscopy and a head and neck examination revealed no other abnormalities.
Gallagher TQ, Schroeder AA. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2009;135(2):216-220. doi:10.1001/archoto.2008.542-a