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Clinical Challenge
December 2018

Atypical Infraglottic Lesion

Author Affiliations
  • 1University of Virginia School of Medicine, Charlottesville
  • 2Division of Laryngology, Department of Otolaryngology–Head and Neck Surgery, University of Virginia Health System, Charlottesville
JAMA Otolaryngol Head Neck Surg. 2018;144(12):1174-1175. doi:10.1001/jamaoto.2018.2253

A cigarette smoker in his 50s with a history of hypertension, chronic kidney disease, colon adenocarcinoma, and hyperuricemia presented with a right vocal fold mass that had been an incidental finding during esophagogastroduodenoscopy. He denied any symptoms related to the lesion, including dysphonia or dysphagia, and reported no fevers or weight loss. Rigid stroboscopy revealed normal vocal fold mobility and a nodular cystic-appearing lesion on the posterior inferior border of the right vocal process (Figure, A). There was no overlying ulceration, and vocal fold mucosal wave was intact in the adjacent membranous vocal fold.