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  Vol. 124 No. 10, October 1998 TABLE OF CONTENTS
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  Resident's Page: Pathology
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Pathologic Quiz Case 1

Arch Otolaryngol Head Neck Surg. 1998;124:1170-1172.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

A 67-YEAR-OLD woman who had recently immigrated from Kiev, Russia, presented to her physician with complaints of dysphagia and hemoptysis. Ten years previously, she had had "thyroid cancer," which had been treated with a right thyroid lobectomy and isthmectomy followed by external beam radiation therapy to the neck. A magnetic resonance imaging study revealed a 4x4x2-cm left thyroid mass eroding through the cricoid and thyroid cartilages and extending into the proximal esophagus. Fiberoptic laryngoscopy showed that the left pyriform sinus was effaced by a fungating mass. Esophagoscopy revealed extrinsic compression of the cervical esophagus. The patient underwent a total laryngectomy and completion thyroidectomy. No cervical adenopathy was detected intraoperatively.

Grossly, the tumor measured 4 cm in greatest dimension and appeared to arise from the left lobe of the thyroid gland. The tumor invaded through the thyroid and cricoid cartilages and extended into the submucosa of the . . . [Full Text of this Article]







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