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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 2

Marc Cohen, MD; Joel A. Sercarz, MD; Catherine K. Huang, MD; Sunita Bhuta, MD; Christian S. Head, MD
University of California, Los Angeles, School of Medicine

Arch Otolaryngol Head Neck Surg. 2009;135(8):833.

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

A 42-year-old man presented to a community medical center with progressive dyspnea and cough. Flexible fiberoptic laryngoscopy demonstrated the presence of a subglottic mass. Magnetic resonance imaging revealed a tracheal mass between the first and second tracheal ring. The patient was taken to the operating room for a direct laryngoscopy and biopsy. During the surgery, a polypoid, firm mass was observed originating from the posterior tracheal wall at the level of the first and second tracheal rings. There was substantial bleeding after the biopsy. An immediate midline tracheotomy was then performed, followed by resection of the tumor via a cricoid split approach. Postoperative recovery was uneventful, and the patient underwent decannulation before discharge. There was still no recurrence 1 year after the procedure.

Gross examination revealed a well-circumscribed, thinly encapsulated, submucosal mass . . . [Full Text of this Article]



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RELATED ARTICLE

Pathology Quiz Case 2: Diagnosis
Arch Otolaryngol Head Neck Surg. 2009;135(8):835.
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