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.
Martz TG, McGarey PO, Daniero JJ. Atypical Infraglottic Lesion. JAMA Otolaryngol Head Neck Surg. 2018;144(12):1174–1175. doi:10.1001/jamaoto.2018.2253
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