A Rare Case of Spindle Cell Lipoma of Nose
A 45-year-old lady presented to our outpatient department with a swelling in the right side of the nose since two years []. It was insidious in onset and gradually progressive. On clinical examination, there was a swelling 3×2 cm, 1 cm below medial canthus of the right eye extending to the right nasoalar crease. It was firm in consistency, nontender, and mobile. CT of the facial skeleton revealed a soft tissue mass over anterior surface of the right maxilla and right nasal bone with mild sclerosis of the right nasal bone. Excision was done under general anesthesia through lateral rhinotomy incision []. On gross examination, the mass was greyish red in color and firm in consistency. Incision was closed in layers and pressure dressing was applied. Specimen was sent for histopathological examination which revealed a mixture of mature adipocytes bland spindle cells in fibrous background with thick collagen bundles, consistent with spindle cell lipoma which is very rare in the region of head and face []. The patient was discharged after removal of the sutures. The patient was asymptomatic during the follow up.