Arch Craniofac Surg.  2023 Jun;24(3):139-142. 10.7181/acfs.2023.00185.

Solitary fibrofolliculoma on the nasal septum: a case report

Affiliations
  • 1Department of Otolaryngology-Head and Neck Surgery, Busan St. Mary’s Hospital, Busan, Korea
  • 2Department of Pathology, Busan St. Mary’s Hospital, Busan, Korea

Abstract

Fibrofolliculoma is a benign, perifollicular, connective tissue tumor that usually arises in the form of multiple lesions; it is rarely seen as a solitary lesion. The lesions are clinically asymptomatic, 2 to 4 mm skin-colored, soft dome-shaped papules. Here, we report a patient who visited our hospital with a palpable lesion on the nasal septum. The lesion did not cause pain upon palpation, and nasal endoscopy confirmed an irregular wart-like lesion measuring 6 × 6 mm in the left anterior nasal septum near the columella. Other otolaryngology findings were normal, and there were no similar lesions in other parts of the body. None of the patient’s family members were known to have had such lesions. An excisional biopsy was performed on the mass for removal of the lesion, and histological examination confirmed the lesion as fibrofolliculoma. We report the first case of solitary fibrofolliculoma in the nasal septum in a healthy 62-year-old woman along with a review of the relevant literature.

Keyword

Biopsy / Case reports / Nasal septum / Pathology / Skin neoplasm
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