A 63-YEAR-OLD white man was referred for evaluation of a 4-month history of hoarseness, dysphagia, nonproductive cough, and globus sensation. He denied having odynophagia, weight loss, or respiratory symptoms. His medical history was significant for coronary artery disease, hypertension, and gout. He had also undergone laser excision of laryngeal polyps 10 years earlier. He had been a heavy smoker for 25 years, but had quit 10 years ago.
Physical examination, including flexible nasopharyngoscopy, revealed a submucosal right pyriform sinus mass encroaching on the ipsilateral supraglottis. Both true vocal cords had normal mobility. There was no palpable lymphadenopathy.
Gal TJ, Agnello PF, Muro-Cacho CA. Pathologic Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1998;124(10):1171-1173. doi:10-1001/pubs.Arch Otolaryngol. Head Neck Surg.-ISSN-0886-4470-124-10-orp8196