Summary:A 40-year-old man presented with a 10-year history of nasal obstruction of his left nose,a 1-year history of headache and orbital pain.Radiologically,an extensive paranasal sinus mass was seen.Superiorly,the cribriform plate was demineralized,and the lesion had intracranial extension with mild mass effect over the basal frontal lobes.Histologic examination revealed a central giant cell reparative granuloma.After endoscopic removal,the patient was symptom-free at the 2-month follow-up.