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Clinical Problem Solving: Pathology
July 2004

Pathology Quiz Case 2

Author Affiliations


Arch Otolaryngol Head Neck Surg. 2004;130(7):889. doi:10.1001/archotol.130.7.889-a

A 78-year-old man presented to the otolaryngology clinic after an incidental laryngeal mass was noted on a recent bronchoscopy that had been performed for an unrelated reason. He denied dysphagia, odynophagia, voice change, or respiratory distress associated with the mass. He did complain of a cough, frequent throat clearing, and a globus sensation in the throat. His medical history was significant for chronic lymphocytic leukemia. He reported a 50 pack-year smoking history. Flexible fiberoptic nasolaryngoscopy showed a large 2-cm-diameter mass based in the postcricoid region of the larynx that extended over the corniculate cartilages and obscured most of the view of the glottis during phonation and respiration. A contrast-enhanced computed tomographic scan of the neck showed a densely enhancing mass, likely highly vascular, in the interarytenoid region (Figure 1). The mass did not involve the cricoid cartilage.

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