DOI: 10.36347/sjmcr.2020.v08i03.020

Pages: 331-333

Introduction: Squamous cell carcinoma of the nasal septum is an uncommon entity and there are a few cases reported in the literature. It is often misdiagnosed because its symptoms are similar to everyday rhinologic complaints. The functional impact of their treatment and the high mortality makes it important to diagnose it at early stage. We report a rare case of squamous cell carcinoma of the nasal septum. Our objective is to determine the clinical and therapeutic aspects of this rare entity. Case report: A 37 years old patient with a previous pathological history: Tobacco Sniffing, has presented , bilateral nasal obstruction and recurrent epistaxis, evolving since 8 monthes. In the examination,there was seen to be a bleeding lesion of approximately 15 x 10 mm that originated from the caudal end of the septum and was showing protrusion towards the right nasal cavity. Squamous cell carcinoma was reported as a result of the biopsy. The patient was treated with surgical resection and radiotherapy. No recurrence and complications were noticed after 6 months of follow-up. The patient will be programmed to reconstruct his nasal defect. Conclusion: Nasal septal carcinoma represented highly aggressive malignancies with higher rates of nodal involvement and subsequently worse outcome. Consequently, squamous cell carcinoma of the septum should be included in the differential diagnosis of any nasal obstruction that does not respond to decongestants.