FREDERIC B.ASKINMDWILLIAM H.WESTRAMD
A 78-year-old man presented to the otolaryngology clinic after an incidental laryngeal mass was noted on a recent bronchoscopy that had been performed for an unrelated reason. He denied dysphagia, odynophagia, voice change, or respiratory distress associated with the mass. He did complain of a cough, frequent throat clearing, and a globus sensation in the throat. His medical history was significant for chronic lymphocytic leukemia. He reported a 50 pack-year smoking history. Flexible fiberoptic nasolaryngoscopy showed a large 2-cm-diameter mass based in the postcricoid region of the larynx that extended over the corniculate cartilages and obscured most of the view of the glottis during phonation and respiration. A contrast-enhanced computed tomographic scan of the neck showed a densely enhancing mass, likely highly vascular, in the interarytenoid region (Figure 1). The mass did not involve the cricoid cartilage.
Mehta RP, Faquin WC, Franco RA. Pathology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2004;130(7):889. doi:10.1001/archotol.130.7.889-a