R. NICKBRYANMDPATRICIA A.HUDGINS
A 59-year-old man presented with a 2-year history of intermittent hoarseness; he also had increasing shortness of breath for the past 2 months and an acute episode of dyspnea. On admission, indirect and flexible laryngoscopy showed an extensive submucosal lesion that was covered by an apparently intact mucosa; the lesion was invading the right hemilarynx and narrowing the homolateral pyriform sinus, causing unilateral vocal cord fixation. A hard, painless 1.0 × 1.5-cm mass originating from the laryngeal framework was palpable in the cervical area of the right side of the neck. Palpation revealed no enlarged cervical lymph nodes in the neck.
Hajiioannou JK, Kyrmizakis DE, Velegrakis GA, Helidonis E. Radiology Quiz Case 2. Arch Otolaryngol Head Neck Surg. 2004;130(7):893. doi:10.1001/archotol.130.7.893