Five cases of non-lethal midline granuloma of the nose are reported. Although the histopathological picture in all cases was identical, showing pleomorphic cellular infiltration, scattered areas of necrosis and vasculitis, the clinical picture and course of the disease were completely different from lethal midline granuloma. All the patients were in good general condition and had lived for quite long periods with their lesions. The pathological process was self-limited and totally confined to the nose, sparing the plate, the lips and other facial structures. An attempt has been made in this study to review contemporary thinking on the pathology of the condition with a suggestion to improve the existing classification.

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