What is your diagnosis?

Abstract

Case A 72 -year -old male patient was brought to our clinic due to a gradually enlarging lump on the right side of his ala nasi, which had been present for two years (Figure 1a). He had no significant medical history. An immobile mass of rubber consistency 2.5x2.5 cm in size with a polypoid appearance was found on the right ala nasi that expanded the right nasal wing and infiltrated the surrounding cheek tissue. No lymphadenopathy was found during the examination of the neck. A punch biopsy was performed. Histopathological examination revealed that it was a mesenchymal neoplasm with myxoid features. Under general anesthesia, the mass on the right nasal wing was completely resected, including the infiltrating cheek tissue with 0.5 mm safety margins. The defect was repaired by advancing the decollated cheek tissue towards the nose and suturing the remnant of the nasal wing to the alar crease. Although the right nostril was narrower than the opposite side, an aesthetically acceptable appearance was obtained. The patient underwent follow-up care with dressings and experienced a smooth recovery (Figure 1b). At 11-month follow-up, there were no signs of recurrence. Diagnosis: Solitary myxoid neurofibroma originating from the external surface of the nose.