A 25-year-old man, with no previous history of known diseases, consulted at the ENT service with approximately 5 months of complaint consisting of the appearance of a slow-growing mass at the level of the right nasal vestibule, approximately 1.5 x 1 x 1 cm, associated with right nasal obstruction. He denied pain, rhinorrhea, bleeding, or any other symptomatology. The mass had a rounded contour and a rubbery consistency, with a pedicle base to the right lateral nasal vestibule. Its outermost portion involved the skin of the alar ridge due to its size, which allowed it to oscillate, a characteristic that the patient took advantage of by introducing it endo-nasally as a way to hide the mass. In addition, the lesion had the presence of ectatic vessels on its surface, which were smooth. (). The patient was taken to surgery, and complete resection of the lesion was performed, removing a small segment of skin from the vestibular area without exposing the alar cartilage and without compromising nasal support or aesthetics (). The resected tissue was consequently sent for histopathological study. The postsurgical defect was small, so a secondary intention closure was considered. The histological specimen reported a completely resected benign neoplastic lesion with epithelial areas, formation of ducts and glandular structures (mixed) lined by cuboidal cells, foci of squamous cells interspersed with myxoid stroma, and foci of a chondroid appearance compatible with pleomorphic adenoma (). Given the atypical location of the lesion, an immunohistochemical study was requested to confirm the diagnosis. The studied cells were reported to be positive for cytokeratins and S100 diffusely and intensely, confirming the diagnosis.