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Pathology Quiz Case 2
Holly Milne, BA;
Diana Ionescu, MD;
Leon Barnes, MD;
Eugene Myers, MD;
Jennifer Hunt, MD
University of Pittsburgh Medical Center, Pittsburgh, Pa
Arch Otolaryngol Head Neck Surg. 2003;129:370.
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A 69-YEAR-OLD WOMAN presented with a 4-month history of a sore throat and a sudden 9.5-kg weight loss. She also complained of shortness of breath on exertion, dysphagia, and occasional hemoptysis. Her medical history was significant for myocardial infarction, coronary artery disease, hypertension, diabetes, migraine headaches, hypothyroidism, and renal artery stenosis. She had an 82 pack-year history of tobacco use, but she had quit 2 years before presentation. She denied any significant alcohol use.
On direct laryngoscopy, a large mass was found on the lingual surface of the epiglottis, extending onto the left aryepiglottic fold. The left true vocal cord demonstrated significant decreased mobility. The findings of esophagoscopy were normal. There was no palpable cervical lymphadenopathy. A computed tomographic scan of the neck showed tumor involvement of the left aryepiglottic fold and left false vocal . . . [Full Text of this Article]
RELATED ARTICLE
Pathology Quiz Case 2—Diagnosis
Arch Otolaryngol Head Neck Surg. 2003;129(3):372.
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