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Emily F. Rudnick, MD; Ema Berbescu, MD; Celeste N. Powers, MD, PhD; Evan R. Reiter, MD
Virginia Commonwealth University Health System, Richmond

Arch Otolaryngol Head Neck Surg. 2005;131:465.

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A 34-year-old male nonsmoker presented with a 4-month history of progressive hoarseness without dyspnea, dysphagia, or hemoptysis. On examination, his voice was strong but harsh. There was no evidence of cervical lymphadenopathy. Fiberoptic laryngoscopy revealed a large, mucosalized mass obstructing the anterior glottis and extending into the subglottis. The visible portions of the true vocal cords were unremarkable. True vocal fold mobility was intact; however, the mass prevented the cords from fully approximating on phonation.

Operative laryngoscopy showed a smoothly mucosalized mass, measuring approximately 1.5 cm in diameter, at the anterior commissure. The mass was broadly attached to the medial edge and inferior surface of the anterior one third of both vocal folds as well as to the subglottis at the anterior commissure (Figure 1). Histopathologic evaluation demonstrated a biphasic tumor with . . . [Full Text of this Article]

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Arch Otolaryngol Head Neck Surg. 2005;131(5):466.
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