SECTION EDITOR: EDWARD B. STELOW, MD
A 57-year-old woman presented with a 2-year history of chronic cough. Onset was associated with flulike symptoms. Her cough worsened, and she started to have difficulty in airway functioning and dysphagia. She denied any hoarseness. A physical examination showed that she was in no apparent distress. Her voice was normal. Flexible fiber-optic laryngoscopy showed a large, posterior, broadly based interarytenoid mass significantly obstructing the posterior glottis, splaying open the arytenoids (Figure 1). The vocal cords were mobile. Computed tomographic imaging of the neck showed a soft-tissue lesion in the larynx obstructing the airway and bilateral level II and III lymphadenopathy. Computed tomographic imaging of the abdomen and pelvis showed hypodense liver lesions.
Hu A, Koch L, Merati AL. Pathology Quiz Case 1. JAMA Otolaryngol Head Neck Surg. 2013;139(6):649. doi:10.1001/jamaoto.2013.3234a