Unusual Cystic Variant of Rhinophyma

Rhinophyma is a slowly progressive, disfiguring disorder of the nose seen almost exclusively in men. It consists of large nodular masses of hypertrophic and hyperemic connective tissue and sebaceous glands. We present an 89-year-old white man with an unusual cystic variant of rhinophyma. While rhinophyma has 2 different presentations, our case contains not only both spectrums of histologic findings but also multiple cysts. These cysts were present on gross pathologic and microscopic examination and contained both squamous and mucinous epithelium.