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November 1992


Arch Otolaryngol Head Neck Surg. 1992;118(11):1266-1269. doi:10.1001/archotol.1992.01880110134023

Pathologic Quiz Case 1  Michael G. Gartlan, MD; Randall Pinkston, MD; Henry T. Hoffman, MD, Iowa City, IowaA 54-year-old woman presented with complaints of mucus sticking in her throat, shortness of breath when supine, and hoarseness for several weeks. These symptoms failed to resolve after a 10-day course of cephalexin. She had been a smoker for many years and used ethanol occasionally. She had a history of voice abuse at work as a factory laborer. There was no history of intubation or laryngeal trauma. Her medical history was otherwise remarkable for atrial septal defect and hypertension.Laryngeal examination revealed a 1.5-cm smoothwalled mass in the region of the left aryepiglottic fold (Fig 1). The true vocal cords were thickened and erythematous with irregular free edges. There was good glottic closure with full vocal cord excursion bilaterally. The findings of the remainder of the head and neck examination, including palpation

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