In this article, we presented a 57-year-old woman with a history of snuff abuse for 16 years and developed squamous cell carcinonoma in the columellar skin. Primary cancer of nasal columella is extremely rare. This is a very agressive tumor and if not resected adequately it can easily spread to adjacent structures.. These tumors should be treated radically. The tumor was resected and defect was reconstructed with left nasolabial sulcus flap in this case. Close follow-up is required because of high recurrence rate. We try to discuss the behavior of these tumors, staging, treatment modalities and prognostic factors.