A Hoarse Voice: A Deceptive Symptom

A 49-year-old man presents with Hoarseness. Explore a case where a common ENT symptom uncovers a surprising and systemic underlying diagnosis.

Carcinoma


A 49-year-old man with a 3-month history of progressive voice changes and pain with swallowing presents to the otorhinolaryngology clinic. He has a history of hypertension and type 2 diabetes mellitus and is a smoker. He denies any recent weight loss or other systemic symptoms. Fiberoptic laryngoscopy was performed and the following image taken. What is the most likely diagnosis?

What is the most likely diagnosis?

Vocal-cord granuloma
Carcinoma
Pachydermia larynges
Reinke’s edema
Subglottic stenosis in granulomatosis with polyangiitis

Carcinoma, Hoarseness, Metastasis, Otolaryngology, Renal Cell Carcinoma

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