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Keratoacanthoma: an unusual nasal mass
M S Sazafi1, H Salina1, A Asma1
1Department of Otorhinolaryngology-Head & Neck Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia;
Summary
A rare keratoacanthoma case occurred in a non-sun-exposed nasal vestibule. This finding highlights the importance of ruling out malignancy in elderly patients with nasal masses.
Area of Science:
- Dermatology
- Otolaryngology
- Pathology
Background:
- Keratoacanthoma is a common, rapidly growing skin tumor, typically sun-induced.
- Nasal vestibular involvement is uncommon, especially in non-sun-exposed areas.
Observation:
- An 84-year-old male presented with an 8-month history of a progressively growing left nasal mass.
- Physical examination revealed a non-tender, protruding mass on the medial vestibular wall of the left nostril.
Findings:
- Histopathological examination confirmed the mass as a keratoacanthoma.
- This represents a rare occurrence of keratoacanthoma in a non-sun-exposed nasal vestibule.
Implications:
- Prompt evaluation and histopathological diagnosis are crucial for nasal masses in the elderly to exclude malignancy.
- This case adds to the limited literature on nasal vestibular keratoacanthoma, emphasizing the need for awareness in differential diagnoses.
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