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April 1968

The Resident's Page

Arch Otolaryngol. 1968;87(4):442-445. doi:10.1001/archotol.1968.00760060444023

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PATHOLOGIC QUIZ CASE 1  Virgil A. Ponzoli, MD, Miami, FlaThis 78-year-old white woman was admitted to the ear, nose, and throat service for a choking sensation and hoarseness of six weeks' duration. Physical examination was unremarkable except for the indirect laryngoscopic findings of a yellowish cyst-like mass involving the right ventricular band. The cords moved well and appeared uninvolved. Laryngograms and laryngotomograms revealed a mass lesion arising from the area of the right pyriform sinus distorting the right vestibule. A diagnosis of laryngocele with adjacent tumor was entertained.At direct laryngoscopy the indirect findings were confirmed. The mass involved the right ventricular band and suggested neoplasm. The pyriform recesses, however, were free of disease. A punch biopsy of the lesion was interpreted only as an edematous polyp. The mass was excised (Fig 1).

PATHOLOGIC QUIZ CASE 2  James A. Meucci, MD, Ft Jackson, SC

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