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Arch Otolaryngol. 1981;107(12):776-779. doi:10.1001/archotol.1981.00790480052021.
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Robert E. Fechner, MD, Charlottesville  A 44-year-old man complained of a sore throat, progressive hoarseness, and dysphagia during a two-month period. He had lost approximately 5 kg of weight and complained of intermittent fever. During this time, a few small ulcers had appeared in his mouth but had healed without therapy.On physical examination, the oral mucosa was not ulcerated, and the pharyngeal wall was edematous but otherwise normal. The vocal cords were swollen and covered with a thin white exudate. Findings from skin tests for tuberculosis and Histoplasma were nonreactive. A biopsy of the vocal cord was done. The histologicappearance is seen in Fig 1 and 2. A methenamine silver stain is seen in Fig 3.What is your diagnosis?


Robert E. Fechner, MD, Charlottesville  A 62-year-old woman complained of progressive hoarseness for six months. As seen through laryngoscopy, a polypoid


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