# An unusual pathology of a nasal tip mass in a 28-year-old female

## TL;DR

A 28-year-old woman had a rare nasal tip mass removed, revealing a keratinous cyst with unusual features.

## Contribution

This case highlights an atypical presentation of a keratinous cyst with multinucleated giant cell reaction and calcification.

## Key findings

- The nasal mass was successfully removed via open rhinoplasty.
- Imaging studies aided in diagnosing the cyst's unique characteristics.
- The case emphasizes the need for comprehensive strategies for nasal tip deformities.

## Abstract

The nose is a frequently affected site for skin cancers, thus it should always be considered when addressing pathologies of the external apex nasi. This case report presents a 28-year-old woman with an atypical nasal tip mass, characterized as a keratinous cyst demonstrating a multinucleated giant cell reaction and calcification. The mass, which had gradually enlarged over 3 years, was successfully removed using an open rhinoplasty technique. Preoperative imaging studies, including ultrasound, noncontrast CT, and MRI, revealed specific characteristics of the mass, aiding in diagnosis and surgical planning. The study underscores the need for increased awareness about nasal tip deformities caused by keratinous cysts, emphasizing the need for comprehensive diagnostic and therapeutic strategies to improve patient outcomes.