Tx and Followup:
Mass was excised in toto and sent for HPE. The patient was started on Dapsone 100mg/ day for 1 year. This is to prevent recurrence.
Rhinosporidiosis is a common condition seen in the nasal cavity. This is particularly endemic in parts of south India and Sri Lanka. It is caused by an organism known as Rhinosporidium Seeberi. This case is posted here because of the concurrent presence of septal perforation. Septum is highly resistant to perforation by mass lesion. Even malignant lesions are not known to perforate nasal septum. In this case rhinosporidiosis has caused perforation of nasal. septum. This could possibly be explained by chronic perichondritis of septal cartilage due to rhinosporidiosis causing its dissolution.
For a more complete description of rhinosporidiosis: - LINK -