The specimen consists of the epiglottis, thyroid and cricoid cartilages; the hyoid bone has been
removed. Arising in the left piriform fossa there is an ulcerating nodular tumour some 3.5 x 2.0
cm. The tumour covers much of the piriform fossa and extends upwards to overlie the laryngeal
This man presented at the age of 53; the lesion which is a squamous cell carcinoma, was
resected; tumour-containing lymph nodes were found in the neck and two years later there was
evidence of secondary tumour in lung.