A 52-Year-Old Man With a Lesion in His Nose

By Barbara Ann Burtness, MD

A 52-year-old man who lives in the Midwest presents with a lesion in his nose. He has an extensive history of sun exposure and a 35 pack-year smoking history. The patient sought attention from an otolaryngologist, who cultured the lesion in the right upper medial nasal vestibule but noted "no lesion of the nose." ...