Left piriform fossa mass

Case contributed by Assoc Prof Frank Gaillard

Presentation

Difficulty in swallowing; Gradually progressive.

Patient Data

Age: 50-60 years
Gender: Male
Barium

Barium swallow demonstrates a rounded filling defect in the left piriform fossa.

CT

CT of the neck confirms the presence of a nodular mass in left pyriform sinus with heterogeneous enhancement.

Case Discussion

The differential is of a mass in the piriform sinus is primarily that of a squamous cell carcinoma (SCC) (most likely) or less likely a minor salivary gland tumor.

Unfortunately no followup is available for this case. 

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