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June 1993


Arch Otolaryngol Head Neck Surg. 1993;119(6):700-703. doi:10.1001/archotol.1993.01880180120024

Pathologic Quiz Case 1  Jeffrey S. Brown, MD, Elie E. Rebeiz, MD, Burlington, MassA 47-year-old man presented to the Lahey Clinic Medical Center, Burlington, Mass, after two episodes of hemoptysis occurring over a period of 1 month. During each episode, he coughed up about 5 mL of bright-red blood.The patient had a viral-like upper respiratory tract infection 2 months before admission and had had a nonproductive cough since that time. He denied pain, dyspnea, dysphagia, or change in voice. No history of recent trauma or previous respiratory problems was elicited.The results of the physical examination were normal. Examination using a flexible fiberoptic instrument revealed a red, pedunculated, 0.5-cm mass on the anterior tracheal wall just below the subglottis. Computed tomography of the neck showed the mass with no evidence of destruction of cartilage or extension beyond the lumen of the airway.After we obtained informed consent, an endoscopic biopsy of the tracheal mass and neodymium (Nd): YAG