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  Vol. 126 No. 10, October 2000 TABLE OF CONTENTS
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Imaging Quiz Case 3

Arch Otolaryngol Head Neck Surg. 2000;126:1268-1272.

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

A 62-YEAR-OLD woman presented with a 6-month history of chronic nonproductive cough. She denied dysphagia, odynophagia, hemoptysis, otalgia, and dysphonia. Fiberoptic nasopharyngolaryngoscopy revealed a submucosal mass in the right false vocal fold, with decreased true vocal fold mobility. The results of the rest of the head and neck examination were unremarkable.

A contrast-enhanced computed tomographic scan revealed a strongly enhancing mass in the right side of the paraglottic space (Figure 1). Because of the enhancing nature of the lesion, a magnetic resonance imaging (MRI) scan (Figure 2) and an angiogram (Figure 3) were obtained to evaluate its vascularity.


Figure 1.


Figure 2.


Figure 3.

The patient was taken to the operating room, and through a transhyoid pharyngotomy approach, a well-encapsulated lesion was excised. Histologic examination of the specimen revealed a cellular population of spindle cells arranged in fascicles with palisading nuclei (Figure 4. . . [Full Text of this Article]



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