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.