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Arch Otolaryngol Head Neck Surg. 1992;118(9):998-1002.

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Pathologic Quiz Case 1

Michael G. Gartlan, MD; Steven P. Goetz, MD; Scott M. Graham, MB,BS, FRACS, Iowa City, Iowa

An 81-year-old white man presented with a 5-month history of progressive hoarseness, recent exertional stridor, and exercise intolerance. The only significant medical history was of a 65-pack-year history of tobacco abuse.

Physical examination confirmed mild inspiratory stridor and revealed an exophytic mass extending from the right false vocal cord to the right pyriform sinus and postcricoid region. The right true vocal fold was fixed, and the left true vocal cord was noted to have decreased mobility. No cervical adenopathy was identified. The admission chest roentgenograms showed no evidence of metastatic disease. The results of liver function tests and other laboratory studies were normal.

Local tracheotomy, panendoscopy, and biopsy were performed. The histologic findings are shown in Figs 1 through 3.

What is your diagnosis?

Pathologic Quiz Case 2

Scott J. . . . [Full Text PDF of this Article]

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