BACKGROUND Rhinosporidiosis is a chronic inflammatory disease common in India and Sri Lanka. Its manifestations are mostly nasal, though extranasal ones in head and neck region are not rare. Occasionally, these presentations lead to diagnostic dilemma. Here, we present one case with its associated confusions in extranasal manifestations. The patient presented with polypoidal mass hanging from nasopharynx into oropharynx. Two nasopharyngeal masses were removed successfully followed by cauterisation of the base. The experience about the various manifestations and diagnostic problems is discussed here.