Introduction Nasal chondromesenchymal hamartoma is a benign tumor that was described in 1998. The occurrence of this lesion is especially rare, with only 21 cases reported in the international literature. It is a benign mass lesion of the nasal cavity predominantly described in young infants. To our knowledge, only one case in an older child has been reported, and no cases have been reported in adults. Case Report: A 52-year-old woman was presented with a one-year history of progressive left-sided nasal obstruction. She had no associated rhinosinusitis or atopic symptoms, and experienced no symptomatic relief with the use of topical nasal steroid spray. Nasal endoscopy revealed that a large polypoid mass was arising superior to the left inferior turbinate. Computed tomography demonstrated a 4.6´4.4-cm partially mineralized left nasal soft-tissue lesion. The mass abutted and displaced the vertical strut of the left middle turbinate laterally, contacted the septum medially, and extended superiorly to, but did not breech, the cribriform plate. Complete transnasal endoscopic excision was performed. Intraoperative examination revealed a mass that was distinct from the left inferior and middle turbinates, arising in slender stalk-like fashion from an intact nasal roof. Microscopic examination of the specimen revealed a polypoid lesion consisting of variably sized nodules that were predominantly composed of mature hyaline cartilage surrounded by a cellular mesenchymal stromal component which included cellular spindled areas as well as myxoid features.