OBJECTIVE: To demonstrate the importance of a systematic study of the patient for proper patient management. CASE REPORT: A female patient with 17 years of age, the table for about 3 years of development characterized by the mass in the nasal-frontal region (glabellar) growth slow, painful at times, with no other accompanying symptoms. She denies difficulty breathing, weight loss and fever. On physical examination, turns out asymmetric nasal pyramid at the expense of a tumor on nasal-frontal region, solid, well-defined borders, is not painful or oscillating design with valsalva maneuvers. Remaining physical examination, without particularity. CONCLUSION: The systematic study of the patient through the semiological and radiological examination before performing removal is essential to manage these types of patients so as to avoid unnecessary complications.