FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 61-YEAR-OLD white man first presented to his otolaryngologist in 1981 with complaints of a sharply localized pain in the right side of his neck and throat pain that was aggravated by swallowing. Physical examination at that time showed no abnormality. Antihistamine therapy was initiated, without resolution of the patient's symptoms. In 1991, he developed a minimally productive cough, and he noticed progression of the pain in the right side of his neck. Suspension microlaryngoscopy revealed a submucosal mass in the posterior supraglottic region. Multiple excisions of the mass provided symptomatic relief that lasted for about 8 months.
Steinberg DM, Kashima HK. Pathologic Quiz Case 2. Arch Otolaryngol Head Neck Surg. 1998;124(2):219-222. doi:10.1001/archotol.124.2.218