BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5148
  • Unusual presentation of more common disease/injury

Nasal chondromesenchymal hamartoma with no nasal symptoms

  1. Michael McDermott3
  1. 1Department of Otolaryngology, South Infirmary Victoria University Hospital, Cork, Ireland
  2. 2Department of Otolaryngology, Our Lady's Children Hospital, Dublin, Ireland
  3. 3Department of Pathology, Our Lady's Children Hospital, Dublin, Ireland
  1. Correspondence to Vincent Uzomefuna, uzomefuna{at}, uzomefuna{at}


The authors present a case of nasal chondromesenchymal hamartoma (NCMH) in an 8-year-old boy with a 4-month history of frontal headache and no symptoms of nasal obstruction, rhinorrhoea or postnasal drip. An ENT examination as well as ophthalmology assessment presented normal results. CT scan showed a lesion involving the sphenoid and ethmoid sinuses. The patient had an endoscopic resection of the lesion that was confirmed histologically to be a NCMH. Though NCMH is known to present usually in infants with obstructing nasal mass, an unusual presentation of a patient with throbbing headache without any nasal symptoms is reported here.


  • Competing interests None.

  • Patient consent Obtained.

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