Case presentation An 81-year-old male arrived at the hospital complaining of trouble swallowing solid food for the past two months, and his condition was deteriorating. He choked on food particles and complained of a globus sensation. Medical history No history of pneumonia, dysphonia, structural pharyngeal dysphagia, or B-symptoms (night sweats, fever, or weight loss) in this patient.
History of hypothyroidism, hypertension, heart failure, anteroseptal MI, dyslipidemia, reflux esophagitis, gastric ulcer, right ear hearing impairment, and chronic kidney disease. Physical examination A hypopharyngeal mass occupying the left piriform sinus was discovered via nasopharyngoscopy, originating from the mucosa of the posterior pharyngeal wall and anteriorly from the anterior and medial piriform sinus mucosa (Cover Image A ). There was no sign of cervical lymph node involvement, and the neck was…
