Unilateral bloodstained nasal dischargeBMJ 2020; 368 doi: https://doi.org/10.1136/bmj.m9 (Published 26 March 2020) Cite this as: BMJ 2020;368:m9
- Zhenxiao Huang, consultant otolaryngologist,
- Qian Huang, consultant rhinologist
- Department of Otolaryngology-Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China
- Correspondence to Qian Huang
A man in his 40s presented with six months of bloodstained nasal discharge from his right nostril. Nasal endoscopy showed purulent bloodstained nasal discharge in the right nasal cavity and a mass with an irregular friable appearance in the right middle meatus of the right nasal cavity; the appearance of the septum and left nasal cavity was normal. He underwent a non-contrast computed tomography scan of his sinuses (fig 1).
Biopsy showed cytoplasmic keratinisation, intercellular bridges, and keratin pearls.
What is the most likely diagnosis?
Sinonasal squamous cell …