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Clinical Challenge | Radiology

Oropharyngeal Mass Causing Obstructive Sleep Apnea QUIZ

Jeong Hong Kim, MD1; Ju Wan Kang, MD2
[+] Author Affiliations
1Department of Otorhinolaryngology, Jeju National University School of Medicine, Jeju, South Korea
2Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul, South Korea
JAMA Otolaryngol Head Neck Surg. 2015;141(4):393-394. doi:10.1001/jamaoto.2014.3729.
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A woman in her 60s presented with a history of oropharyngeal discomfort and snoring and obstructive sleep disturbance. Physical examination revealed a mass measuring approximately 4 × 3 cm and covered with normal mucosa on the posterior oropharyngeal wall. Computed tomography showed a segmented bony lesion located at the odontoid process and the body of the C2 vertebra. What is your diagnosis?

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Figure.

A, Photograph of an oropharyngeal mass. B, Computed tomographic image showing a segmented bony lesion located at the odontoid process and the body of the C2 vertebra. C, T1-weighted magnetic resonance image (MRI) of an oropharyngeal mass. D, T2-weighted MRI of an oropharyngeal mass.

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