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Clinical Problem Solving: Pathology
May 16, 2011

Pathology Quiz Case 1

Author Affiliations
 

JULIA C.IEZZONIMD

Arch Otolaryngol Head Neck Surg. 2011;137(5):526. doi:10.1001/archoto.2011.57-a

A 15-year-old boy presented with a 1-month history of hoarseness, shortness of breath with exertion, and a globus sensation. He denied any dysphagia, odynophagia, or localized pain. He was otherwise healthy and had no family history of childhood cancers or anemia. Fiberoptic laryngoscopy revealed a 2-cm, nonulcerated, submucosal soft-tissue mass epicentered in the anterior left false vocal fold (Figure 1). The results of the physical examination were otherwise unremarkable, with no palpable lymphadenopathy. Combined positron emission tomography and computed tomography revealed a 2.2 × 1.6-cm soft-tissue mass in the left supraglottic larynx that partially obliterated the left piriform sinus (Figure 2). The mass had a maximal standard uptake variable of 14.2.

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