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  Vol. 135 No. 8, August 2009 TABLE OF CONTENTS
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  Clinical Problem Solving: Pathology
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Pathology Quiz Case 1

Jiovani M. Visaya, BA; Eugene A. Chu, MD; John Schmieg, MD; Jeffrey S. Iding, MD; Wayne M. Koch, MD
The Johns Hopkins Hospital, Baltimore, Maryland

Arch Otolaryngol Head Neck Surg. 2009;135(8):832.

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

A 57-year-old woman presented with a 4-month history of an intractable cough. She had recently been diagnosed as having non–small cell lung cancer (stage IIIb) and had undergone a lobectomy, with neoadjuvant chemoradiation therapy. The cough, which was nonproductive and triggered by phonation, persisted despite a course of oral steroids and a proton pump inhibitor. Flexible fiberoptic laryngoscopy revealed a 2- to 3-mm mucosa-covered lesion situated along the left laryngeal surface of the epiglottis. The lesion had initially been noted on examination 2 years earlier; it was believed to represent a benign inclusion cyst and was not biopsied at that time. It had grown slightly since then, and the patient opted for surgical removal, hoping that elimination of the lesion would ameliorate her cough.

Suspension microlaryngoscopy, which was performed in the . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case 1: Diagnosis
Arch Otolaryngol Head Neck Surg. 2009;135(8):834.
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