Imaging in Oncology
Evan W. Harris, MD
Assistant Professor of Radiology,
H. Lee Moffitt Cancer Center & Research Institute
Case Description:
A 60-year-old man with a history of stage 3B non-small-cell carcinoma
of the lung treated with both chemotherapy and radiation therapy
complained of hoarseness for several days. Enhanced computed tomography
of the neck (Figs 1 and 2) revealed lobulation of the right true
vocal cord and associated prominence of the right aryepiglottic
fold.
Which of the following choices is the most appropriate diagnosis?
- squamous cell carcinoma of the right true vocal cord extending
along the aryepiglottic fold on the right
- metastatic disease from the lung cancer in the right true
vocal cord extending along the right aryepiglottic fold
- squamous cell carcinoma of the right aryepiglottic fold with
glottic extension on the right
- squamous cell carcinoma of the subglottic larynx with extension
along the right aryepiglottic fold
- right vocal cord paralysis/buckling with medial deviation
of the right aryepiglottic fold