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Clinical Challenge | Endoscopy

A Highly Vascularized Supraglottic Neoplasm QUIZ ONLINE FIRST

Armando De Virgilio, MD1,2; Raul Pellini, MD1; Giuseppe Spriano, MD1
[+] Author Affiliations
1Department of Otolaryngology–Head and Neck Surgery, Regina Elena National Cancer Institute, Rome, Italy
2Department of Organs of Sense, Ear, Nose, and Throat Section, University of Rome “La Sapienza,” Roma, Italy
JAMA Otolaryngol Head Neck Surg. Published online March 17, 2016. doi:10.1001/jamaoto.2016.0033
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A man had dysphagia, dry cough, foreign-body sensation, and dyspnea; bilateral hyperemia of the tonsillar area and posterior pharyngeal wall were noted, and fiber-optic laryngoscopy revealed a supraglottic lesion involving the free margin of the suprahyoid epiglottis. What is your diagnosis?

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Figure.

A, Endoscopic examination of the supraglottic larynx revealing reddish supraglottic neoplasm arising from the free epiglottic border. B, Narrowband imaging of highly vascularized supraglottic neoplasm.

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