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Pathologic Quiz Case 2
Arch Otolaryngol Head Neck Surg. 1998;124:1171-1173.
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A 63-YEAR-OLD white man was referred for evaluation of a 4-month history of hoarseness, dysphagia, nonproductive cough, and globus sensation. He denied having odynophagia, weight loss, or respiratory symptoms. His medical history was significant for coronary artery disease, hypertension, and gout. He had also undergone laser excision of laryngeal polyps 10 years earlier. He had been a heavy smoker for 25 years, but had quit 10 years ago.
Physical examination, including flexible nasopharyngoscopy, revealed a submucosal right pyriform sinus mass encroaching on the ipsilateral supraglottis. Both true vocal cords had normal mobility. There was no palpable lymphadenopathy.
Initially, the patient had been seen at an outside facility, where a barium swallow had revealed a normal swallowing pattern, with a smooth extrinsic compression of the right vallecula and pyriform sinus as well as a small hiatal hernia. A computed tomographic scan of the neck with contrast (Figure 1) showed . . . [Full Text of this Article]
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
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Dedifferentiated Liposarcoma of the Pyriform Sinus: Report of a Case and Review of the Literature
Gonzalez-Lois et al.
INT J SURG PATHOL 2002;10:75-79.
ABSTRACT
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