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August 1968

The Resident's Page

Author Affiliations


Arch Otolaryngol. 1968;88(2):218-221. doi:10.1001/archotol.1968.00770010220028

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PATHOLOGIC QUIZ CASE 1  Anthony Bull, MD, LondonA 62-year-old accountant complained of hoarseness persisting for one month. There was a longstanding cough, with no recent change in its character, that the patient associated with his smoking (20 cigarettes a day). There was no pain or dysphagia. The general health was good, with no malaise or weight loss.Indirect laryngoscopy showed a granular lesion occupying the anterior two thirds of the left vocal cord, with some spread onto the ventricular band. The cord movement was normal and the lesion was not ulcerated. The lesion was biopsied (Fig 1).

PATHOLOGIC QUIZ CASE 2  Anthony Bull, MD, LondonA 66-year-old woman, who gave a six-month history of dysphagia, was found at endoscopy to have a large postcricoid ulcer. The biopsy (Fig 2) showed this to be a well-differentiated squamous cell carcinoma. There were no palpable neck nodes, and a pharyngolaryngectomy was performed

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