A 92-year-old white native Dutch man presented with a several-month history of persistent swallowing complaints. He also had a minor right-sided odynophagia, right-sided otalgia, and occasional dysphagia for both solid and liquid substances. No weight loss was noted. His medical history was remarkable for an aneurysm of the abdominal aorta, thrombocytopenia, and reduced kidney function. Endoscopic clinical examination revealed an ulcerating lesion with multiple granulations on the right side of the nasopharynx. The irregular lesion had an average diameter of 2.5 cm and extended into the right posterior side of the palatum molle, the right Rosenmüller fossa, and the right posterior nasopharyngeal wall. There was no cervical lymphadenopathy.
Bittermann AJN, Straetmans JMJAA, Huysentruyt CJR, Kross KW. Pathology Quiz Case 1. Arch Otolaryngol Head Neck Surg. 2010;136(7):744. doi:10.1001/archoto.2010.85-a