PMC3715978_01
Multiple papillomas seen in the infraglottic region
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F1
Workup resulted in a diagnosis of multiple laryngeal papillomas [Figure 1].
Computed tomography scan showing mediastinal lymphadenopath
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F2
His computed tomography (CT) scan neck and thorax [Figure 2] revealed large right supraclavicular lymph node with central necrosis, measuring 3 cm, and small bilateral cervical, pretracheal, and subcarinal lymph nodes, with the largest measuring 1.8 cm.
Slide of laryngeal papilloma
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F3
There was no evidence of malignancy and HPV from the lesion was negative [Figure 3].
Slide of squamous carcinoma
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F4
Biopsy from the lesion was performed which revealed squamous cells with hyperchromatic nuclei suggestive of SCC, which was correlating with the histopathology of the cervical lymph node [Figure 4].