This clinical picture, which has a quite destructive course has been referred with various names such as stewart type non-healing granuloma, polimorphic reticulosis, gangrenous granuloma etc (1). This variety of nomenclature is due to too many unknowns in the etiopathogenesis of the disease. Also the rarity of cases, makes it more difficult to set up standard diagnostic and therapeutic criteria. In this article, we are presenting a midline granuloma case which has been diagnosed in our clinic.