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Clinical Problem Solving
July 2013

Intermittent Hemoptysis and Blood-Tinged Sputum

Author Affiliations
  • 1Department of Otolaryngology–Head and Neck Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan
  • 2Graduate Institute of Clinical Medicine Science, Chang Gung University, Kwei-Shan, Taoyuan, Taiwan
  • 3Department of Pathology, Chang Gung Memorial Hospital, Chiayi, Taiwan
  • 4Department of Otolaryngology–Head and Neck Surgery, Chang Gung Memorial Hospital, Chiayi, Taiwan

Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Otolaryngol Head Neck Surg. 2013;139(7):743-744. doi:10.1001/jamaoto.2013.3438

A 57-year-old man presented with a 3-week history of intermittent hemoptysis and blood-tinged sputum. He had a medical history of hypertension, type 2 diabetes mellitus, and right-sided thalamic infarction 1 year previously, and was currently taking aspirin therapy. Findings from a bronchoscopy demonstrated a normal bronchial tree and a nasopharyngeal mass. Nasal endoscopy revealed a pedunculated polypoid tumor with smooth, pink-to-red mucosa in the central nasopharyngeal roof (Figure, A). Findings from the rest of the head and neck examination, as well as from the complete blood cell count, biochemical tests, and chest radiograph, were unremarkable.