Struck by Lightning and Bitten by Snake: Two Coexisting Neoplasms in Same Anatomical Area

Introduction The simultaneous occurrence of a benign as well as malignant epithelial lesion, albeit incidental, is a rare occurrence. A multi stage procedure had to be adopted for the appropriate management of this patient. Case Report We report one such case of a 65 year old male who presented with a small black lesion on the left side of the nose and complains of left sided nasal obstruction on a much later date. Discussion The decision to address the benign pathology initially followed by the malignant pathology owing to its indolent course formed the cornerstone in the management of this patient.