Case presentation A 64-year-old woman presented to a community healthcare center with complaints of a painless lump in her throat and mucus accumulation in the back of her throat. Medical history Gastroesophageal reflux disease (GERD) Osteoarthritis Allergies Nonsmoker Teetotaler No family history of cancer Initial diagnosis : Laryngopharyngeal reflux Treated with oral pantoprazole magnesium 40 mg for three months The patient’s symptoms, however, worsened over time, and she later developed dysphonia. She sought a second opinion. Physical examination Oral examination was normal and negative for cervical lymphadenopathy Glasgow Coma Scale = 15 Flexible fiberoptic laryngoscopy revealed a large, smooth expandible, vallecular lesion covering a significant portion of the oropharynx.
Vocal cords were normal. A neck ultrasound revealed a hypoechoic mass with calcification around the edges. The…
