Unexpected Late Complication Causing Dysphagia

Excerpt

A 65-year-old man presented to our outpatient clinic with a 6-month history of dysphagia, cough and neck pain. Dysphagia was non-selective for liquids or solid foods with an accompanying neck pain at all times. The cough was non-productive and he reported tobacco and alcohol consumption for 40 years. He did not report weight loss or other constitutional symptoms. His past medical history was uneventful, except for a cervical disc hernia operation performed 17 years ago. Physical examination of the patient did not show any positive findings. Endoscopic examination showed a smooth surfaced mucosal lesion on the posterior pharyngeal wall (Fig. 1). The structure and mobility of the vocal folds and other laryngeal parts were normal. A cervical computed tomography (CT) was performed (Fig. 2).

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