A 48-year-old man presented with a 1-year history of worsening dysphonia and dyspnea. He had been intubated for approximately 8 days after a partial liver resection 1 year earlier. He reported limited exercise tolerance owing to his progressive dyspnea. He also reported episodes of coughing and choking while swallowing thin liquids. His medical history was significant for metastatic colon cancer, hypertension, arthritis, and sleep apnea. He denied any history of tobacco or alcohol use.
Mehta RP, Faquin WC, Franco RA. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2006;132(12):1390. doi:10.1001/archotol.132.12.1390