An 85-year-old woman presented to the clinic for evaluation of chronic sinusitis. At the time of presentation, she reported nasal discharge, frontal pain, and progressive swelling above her glabella. She had received several antibiotics and steroids without any improvement. Medical history: She had a history of arthritis, hypercholesteremia, hypertension, and glaucoma.
Physical examination: Prominent glabellar swelling and soft tissue thickening. Radiological investigation: Nasal endoscopy revealed a soft tissue mass anterior to the axilla of the middle turbinates bilaterally (Image A). Other investigations: nasal mass biopsy was evident in uniform, epithelioid cells arranged in a whorled, lobulated growth pattern (Image B).
