PATHOLOGIC QUIZ CASE 1
Marion V. Filippone, MD, Robert E. Fechner, MD, Houston
This 64-year-old woman presented with progressive hoarseness of five weeks' duration that had not responded to medical treatment. The patient smoked one pack of cigarettes daily for the past 40 years. The patient denied any history of weight loss, dysphagia, odonophagia, or hemoptysis. Indirect laryngoscopy revealed a pedunculated, papillary-like lesion of the right true vocal cord. There was good mobility of both vocal cords. The remainder of the otolaryngologic examination, including the neck, was unremarkable. Polytome views of the larynx revealed a pedunculated lesion extending subglottically from the right true vocal cord. A barium swallow revealed a small sliding hiatal hernia.On direct laryngoscopy a papillary lesion was noted involving the entire right true vocal cord. A biopsy specimen was taken by laryngeal forceps and submitted for frozen section diagnosis (Fig 1). On receiving the histopathological diagnosis,
FECHNER RE. The Resident's Page. Arch Otolaryngol. 1974;99(3):232–234. doi:10.1001/archotol.1974.00780030240018
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