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Radiology Quiz Case 1
Pei-Yin Wu, MD;
Michael Friedman, MD;
Shun-Chen Huang, MD;
Hsin-Ching Lin, MD
Chang Gung Memorial Hospital, Kaohsiung Medical Center, Chang Gung University College of Medicine, Kaohsiung, Taiwan (Drs Wu, Huang, and Lin); Rush University Medical Center, Chicago, Illinois (Dr Friedman); and Advanced Center for Specialty Care, Advocate Illinois Masonic Medical Center, Chicago (Dr Friedman)
Arch Otolaryngol Head Neck Surg. 2009;135(7):716.
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A 31-year-old man presented with a 6-month history of progressive dyspnea. He also complained of a sensation of a lump in his throat and a voice change. He was otherwise healthy. Flexible laryngoscopy revealed a large, submucosal mass at the base of the tongue that was compressing the epiglottis posteriorly and obstructing nearly 90% of the supraglottis (Figure 1). There was no palpable cervical lymphadenopathy. A computed tomogram (CT) of the head and neck showed a 3.5 x 3.0-cm, nonenhancing, globular, well-defined lesion located at the base of the tongue (Figure 2) and a normal position of the thyroid gland. The results of laboratory studies were within normal limits.
Figure appears in full text version.
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Figure appears in full text version.
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The mass was excised via a transcervical approach. Microscopically, there was an irregular cystic space lined partially by pseudostratified ciliated columnar . . . [Full Text of this Article]
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