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Left vocal cord lesion - squamous cell carcinoma

Case contributed by Steve Lau
Diagnosis almost certain

Presentation

Vocal cord SCC - staging CT

Patient Data

Age: 69
Gender: Male

CT neck and chest

ct

CT neck show a small nodular thickening over the left vocal cord, abutting the thyroid cartilage.

There is an ill-marginated soft tissue thickening at level of tongue base involving right supraglottis, extending into vallecula and tonsillar fossa. It extends around the hyoid bone laterally into submandibular space involving submandibular gland and contains gas and fluid. The right submandibular gland is diffusely enlarged and heterogenous in density.

There is prominent right and left cervical lymphadenopathy.

Case Discussion

The patient underwent surgical excision of left vocal cord lesion. Histology revealed a moderately differentiated squamous cell carcinoma. No tumor was identified in supraglottic specimens.

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