PATHOLOGIC QUIZ CASE 1
Mohsen Djalilian, MD, Kenneth D. Devine, MD, Rochester, Minn
A 49-year-old woman came to the Mayo Clinic in September 1973 because of persistent hoarseness. This had begun in August 1972, and at first had been intermittent but then became steady. A month before she had registered and had been told by an otorhinolaryngologist that there was some lesion in the subglottic region. She also stated that she had had a choking sensation and brought up some blood the week before. She had no difficulty in swallowing or breathing and reported no weight loss, night sweats, or chills. She never had had any neck surgery or irradiation, and she never smoked or drank alcohol. Prior history was normal.Immediate examination revealed subglottic and upper tracheal stenosis. The mucosa was intact; but it seemed that something was pushing it into the trachea, a bit asymmetrically (Fig 1).
FECHNER RE. Resident's Page. Arch Otolaryngol. 1975;101(6):398–400. doi:10.1001/archotol.1975.00780350062019
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