Abstract
Epiglottic masses may be cystic, granulomatous, infectious, benign or malignant neoplastic, or manifestations of a systemic disease. When large in size, the airway may become obstructed, and when accompanied by suspicious features such as cartilaginous invasion, extension to the pre-epiglottic or para-glottic spaces, or lymphadenopathy, the radiologist must consider malignancy as a primary differential diagnosis. However, when only benign features are identified, the differential diagnosis is broad. We present a 65-year-old female with an incidental 1 cm exophytic, pedunculated, papillomatous lesion on the laryngeal surface of the epiglottis discovered upon endoscopic evaluation for dyspepsia and heartburn. Because of her risk factors for malignancy, CT scan was requested and revealed only benign features. Subsequent excisional biopsy revealed a benign squamous papilloma; however, multiple additional differential considerations were entertained preoperatively.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 347-353 |
| Number of pages | 7 |
| Journal | Neuroradiology Journal |
| Volume | 28 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 1 2015 |
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Keywords
- CT imaging
- epiglottis
- larynx
- mass
ASJC Scopus subject areas
- Medicine(all)
Cite this
Epiglottic masses identified on CT imaging : A case report and review of the broad differential diagnosis. / Tresley, Jonathan; Saraf Lavi, Efrat; Kryvenko, Oleksandr; Sargi, Zoukaa B.
In: Neuroradiology Journal, Vol. 28, No. 3, 01.06.2015, p. 347-353.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Epiglottic masses identified on CT imaging
T2 - A case report and review of the broad differential diagnosis
AU - Tresley, Jonathan
AU - Saraf Lavi, Efrat
AU - Kryvenko, Oleksandr
AU - Sargi, Zoukaa B
PY - 2015/6/1
Y1 - 2015/6/1
N2 - Epiglottic masses may be cystic, granulomatous, infectious, benign or malignant neoplastic, or manifestations of a systemic disease. When large in size, the airway may become obstructed, and when accompanied by suspicious features such as cartilaginous invasion, extension to the pre-epiglottic or para-glottic spaces, or lymphadenopathy, the radiologist must consider malignancy as a primary differential diagnosis. However, when only benign features are identified, the differential diagnosis is broad. We present a 65-year-old female with an incidental 1 cm exophytic, pedunculated, papillomatous lesion on the laryngeal surface of the epiglottis discovered upon endoscopic evaluation for dyspepsia and heartburn. Because of her risk factors for malignancy, CT scan was requested and revealed only benign features. Subsequent excisional biopsy revealed a benign squamous papilloma; however, multiple additional differential considerations were entertained preoperatively.
AB - Epiglottic masses may be cystic, granulomatous, infectious, benign or malignant neoplastic, or manifestations of a systemic disease. When large in size, the airway may become obstructed, and when accompanied by suspicious features such as cartilaginous invasion, extension to the pre-epiglottic or para-glottic spaces, or lymphadenopathy, the radiologist must consider malignancy as a primary differential diagnosis. However, when only benign features are identified, the differential diagnosis is broad. We present a 65-year-old female with an incidental 1 cm exophytic, pedunculated, papillomatous lesion on the laryngeal surface of the epiglottis discovered upon endoscopic evaluation for dyspepsia and heartburn. Because of her risk factors for malignancy, CT scan was requested and revealed only benign features. Subsequent excisional biopsy revealed a benign squamous papilloma; however, multiple additional differential considerations were entertained preoperatively.
KW - CT imaging
KW - epiglottis
KW - larynx
KW - mass
UR - http://www.scopus.com/inward/record.url?scp=84945346660&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84945346660&partnerID=8YFLogxK
U2 - 10.1177/1971400915594517
DO - 10.1177/1971400915594517
M3 - Article
C2 - 26246108
AN - SCOPUS:84945346660
VL - 28
SP - 347
EP - 353
JO - Neuroradiology Journal
JF - Neuroradiology Journal
SN - 1971-4009
IS - 3
ER -