DOI: https://doi.org/10.36347/sjmcr.2026.v14i05.070

Pages: 1163-1165

Fibroepithelial polyps are common benign mesodermal lesions frequently encountered in the skin but are exceedingly rare in the nasal cavity, particularly in the nasal vestibule. Owing to their unusual location, such lesions may pose diagnostic challenges and clinically mimic other benign or malignant nasal masses. We report the case of an 18-year-old male who presented with a small, non-tender polypoidal swelling at the mucocutaneous junction of the left nasal vestibule. The lesion was completely excised under local anaesthesia and submitted for histopathological evaluation. Microscopic examination revealed a polypoidal lesion lined by keratinized stratified squamous epithelium showing focal acanthosis and hypergranulosis, with underlying fibrocollagenous stroma containing blood vessels, and no evidence of epithelial atypia or malignancy. A diagnosis of fibroepithelial polyp was established. This case highlights the importance of considering fibroepithelial polyp in the differential diagnosis of nasal vestibular lesions and emphasizes the role of complete excision with histopathological examination to ensure accurate diagnosis and exclusion of malignant transformation.