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Clinical Problem Solving: Pathology
December 2001

Pathology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2001;127(12):1503. doi:

A 68-YEAR-OLD man presented with a 2-month history of hoarseness. He did not smoke or consume alcohol. Stroboscopic evaluation of his larynx revealed a smooth-surfaced bulging mass, without mucosal waves, over the middle third of the right vocal cord (Figure 1). Physical examinations revealed that there were no palpable masses or lymphadenopathy. Microlaryngoscopy was performed with the patient under general anesthesia. Although the lesion was initially thought to represent a vocal cord cyst, it was found to have a firm consistency on instrumental palpation. Excisional biopsy was performed.