Pathognomonic

Question: A 71 year old male is evaluated for progressive voice changes. Laryngoscopy demonstrates a submucosal subglottic fullness and normal vocal fold mobility. CT imaging shows a destructive lesion of the posterior cricoid lamina, extending up to the cricoarytenoid joints but not involving them. What is the most likely diagnosis?

a) Squamous cell carcinoma

b) Chondrosarcoma

c) Leiomyosarcoma

d) Amyloidosis

[Answer will be posted with next week's new question]

Answer to last week's question, “Not The Run Of The Mill" (February 3, 2020)

C - CT to rule out Incomplete Partition type 3 malformation associated with X-linked stapes gusher.