
View larger version (42K):
|
An 84-year-old man presented with an isolated sensation of a lump in the back of his throat and difficulty swallowing that had developed over several months. A year earlier, the patient had received a diagnosis of lymphoma involving the inguinal lymph nodes, which had been treated with CHOP combination therapy (cyclophosphamide, doxorubicin, vincristine, and prednisone). This therapy resulted in a partial remission of the lymphoma. The physical examination revealed a mass in the posterior oropharynx. Cervical and inguinal lymphadenopathy were present; there was no hepatosplenomegaly, and the peripheral-blood smear was normal. Endoscopy revealed a large pharyngeal mass on the right . . . [Full Text of this Article] |