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JAMA Dermatology Clinicopathological Challenge
July 2017

A Growing Mass in the Nostril

Author Affiliations
  • 1Department of Dermatology, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain
  • 2Histopathology section, Pathology Laboratory Associates, Oklahoma City, Oklahoma
  • 3Dermatology Private Practice, Dawson Medical Group, Oklahoma City, Oklahoma
JAMA Dermatol. 2017;153(7):709-710. doi:10.1001/jamadermatol.2016.6023

A man in his 30s presented with a mass in the right nostril that had been growing for about 1 year. The lesion bled with minimal trauma but did not obstruct his breathing. The patient did not smoke and denied any medical history of chronic rhinosinusitis. Physical examination revealed a 1-cm, nontender, exophytic, verrucous, skin-colored plaque on the right nasal vestibule (Figure, A and B). A diagnostic shave biopsy specimen was taken after informed consent was obtained (Figure, C and D).

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