Inverting papilloma of the base of tongue with malignant transformation.

摘要: CASE REPORT A 48-year-old otherwise healthy man presented to his primary care physician with complaints of persistent globus sensation, dysphagia, neck pain, and otalgia. Over the course 2 years, patient was referred 3 otolaryngologists, last whom took operating room for a direct laryngoscopy biopsy. The unable be intubated in underwent emergent tracheotomy secure airway. then our clinic because suspected malignancy. In office, an ill-defined tongue base induration noted by palpation. Fiberoptic showed fullness base, but there were no mucosal abnormalities. computed tomography scan (CT) neck, intravenous contrast, mild asymmetry (Fig 1). epiglottis appeared thickened, mass within tongue, approximately at level hyoid bone. remainder patient’s metastatic work-up, including liver function thyroid tests, CT chest, normal. taken back examination under anesthesia biopsy samples; this procedure confirmed both fiberoptic findings. Deep directed biopsies performed, samples sent frozen permanent sections.