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April 1975

Resident's Page

Author Affiliations

The Methodist Hospital, Houston, TX 77025

Arch Otolaryngol. 1975;101(4):266-268. doi:10.1001/archotol.1975.00780330062021

A 43-year-old man was seen at the ear, nose, and throat clinic for a swelling in the back of the tongue. There was no history of dysphagia or pain.

A routine examination of the oral cavity revealed a papillomatous swelling 1 cm in diameter that was lateral to the circumvallate papillae. The lesion was well delineated, firm, and pink in color.

Excision biopsy was performed under local anesthesia and the lesion was submitted for histologic examination. What is your diagnosis?

A 24-year-old woman developed an upper respiratory tract infection in June 1973, with subsequent progressive inspiratory and expiratory stridor but no hoarseness or dysphagia. Direct laryngoscopy and excisional biopsy were performed in July 1973.

The patient did well until May 1974, when progressive upper airway obstruction recurred. Indirect laryngoscopy results revealed a yellow pedunculated mass attached by a stalk to the posterior commissure of the larynx just medial to the