Ossifying pleomorphic adenoma presenting as a nasopalatine mass

Pleomorphic adenomas are benign tumors that are uncommon in the nasal cavity. However, they can rarely arise from septum, erode hard palate and thus masquerade a bone tumor. We report one such rare case of septal pleomorphic adenoma with hard palatal extension and ossification. A combined endoscopic intranasal and transpalatal surgical approach was performed and tumor was excised completely. A high index of clinical suspicion and biopsy can diagnose such swellings.