Vocal cord paralysis secondary to left central bronchogenic carcinoma

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Adult male patient with hoarseness of voice since 3 weeks.

Patient Data

Age: 40 years old
Gender: Male

A left para-hilar irregular and spiculated, mildly enhancing soft tissue mass lesion is seen extending to the aorto-pulmonary window. It measures 5.5 X 4 X 3 cm in its main CC and axial diameters. The lesion is associated with desmoplastic reaction of the left upper lobe.

Small pre-carinal and pre-vascular lymph nodes are seen with the largest measuring 2 X 1.5 cm.

Enlargement of the left piriform sinus with mild antero-medial deviation of the arytenoid cartilage as well as relative widening of the left laryngeal  ventricle and mild thickening and adduction of the left aryepiglottic fold indicative of left vocal cord paralysis.

 Diagnosis:

 Left vocal cord paralysis secondary to left parahilar malignant mass lesion (mostly bronchogenic carcinoma).

      

Case Discussion

Identification of a unilateral vocal cord palsy should prompt a careful examination of the neck and chest for a malignancy or other cause. 

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Case Information

rID: 21644
Case created: 7th Feb 2013
Last edited: 9th Feb 2016
Systems: Chest, Head & Neck
Inclusion in quiz mode: Included

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