There is an ulcerated area, approximately 2 x 1 cm, in the left pyriform fossa, extending onto and
involving the left side of the epiglottis.
This woman had several episodes of coughing up blood. She had noticed a slight swelling
on the left side of the neck for some 2 to 3 years, and had difficulty in swallowing for 18 months.
Examination showed this lesion - which, on biopsy, was found to be a well-differentiated squamous
cell carcinoma. The tumour area was irradiated over a period of 2-3 weeks, with reduction in the
size of the lesion. However, she suddenly vomited a large amount of blood, collapsed and died.
Further examination showed involved lymph nodes in the region.