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  Vol. 128 No. 5, May 2002 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 2

Mukesh Prasad, MD; Jeffrey L. Keller, MD
Columbia College of Physicians and Surgeons and New York Presbyterian Hospital, New York, NY

Arch Otolaryngol Head Neck Surg. 2002;128:593-595.

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

A 10-YEAR-OLD GIRL with no previous medical or surgical history presented with an episode of exercise-induced stridor that had developed while she was playing soccer. The presumptive diagnosis of exercise-induced asthma was made, but the patient had only a limited response to bronchodilators. After a short period of rest her stridor improved, but careful examination revealed a very mild, though persistent, expiratory stridor. Neck x-ray films revealed no abnormalities. Flexible bronchoscopy revealed mild subglottic asymmetry. A computed tomographic scan of the neck and chest suggested the presence of a right-sided tracheal mass approximately 3 cm below the vocal folds (Figure 1). Direct laryngoscopy and rigid bronchoscopy revealed a 1 x 1.5-cm, smooth, yellow mass in the lateral aspect of the right side of the trachea, just below the cricoid ring (Figure 2). A biopsy was performed and the pathological . . . [Full Text of this Article]



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