FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 48-YEAR-OLD man presented with an 8-month history of a chronic cough. Examination revealed changes consistent with reflux laryngitis, and an aggressive antireflux regimen was initiated. The patient, who was otherwise healthy, did not have an appreciable response to medical therapy. Because of the persistent nature of his cough, he was taken to the operating room for evaluation with triple endoscopy, which revealed a pedunculated tracheal mass emanating from the right tracheal wall, approximately 2 cm distal to the cricoid cartilage (Figure 1). Because a vascular lesion was considered, a biopsy specimen was not obtained. The patient was transferred to the University of California, Los Angeles, UCLA School of Medicine for further care.
Blumin JH, Golsorkhi AA, Feinberg GM, Berke GS. Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2001;127(5):595. doi: