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Clinical Challenge | Pathology

An Unusual Laryngeal Mass Requiring Unusual Airway Management QUIZ ONLINE FIRST

Scott Ryan Hall, BS1; Ross Mayerhoff, MD2; Gregory Cheeney, MD3
[+] Author Affiliations
1University of Washington School of Medicine, Seattle
2Department of Otolaryngology, University of Washington, Seattle
3Department of Pathology, University of Washington, Seattle
JAMA Otolaryngol Head Neck Surg. Published online March 03, 2016. doi:10.1001/jamaoto.2015.3356
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A man presented with positional shortness of breath and sensation of airway obstruction; flexible fiber-optic laryngoscopy revealed a large, irregular pedunculated mass on the left anterior false vocal that was was seen to ball-valve in and out of the glottis with respiration. What is your diagnosis?

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A, Direct laryngoscopic image of mass. B, Direct laryngoscopy with retraction of mass to view stalk. C, Hematoxylin-eosin, original magnification ×40. D, Hematoxylin-eosin, original magnification ×200.

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