Paratracheal Mass Mimicking Malignancy
Elizabeth M. Kurian, MD and Jerome Jean-Gilles, Jr., MD
Presentation Date: September 2012; Expires: September 2015
A 41year old Portuguese-only speaking male from Brazil presented with a history of progressive hoarseness and voice loss over the past 2 years, with exacerbation of symptoms within the last 6 months. Physical exam was unremarkable; however a chest CT demonstrated multiple pulmonary nodules. The subsequent diagnostic bronchoscopy and endobronchial ultrasound (EBUS) revealed a granulomatous and papillomatous-appearing paratracheal mass, measuring 1-2 cm, with involvement of the false vocal cord which was clinically suspicious for malignancy. Ultrasound-guided transbronchial fine needle aspirate (TBNA) of the paratracheal mass was collected in Cytorich Red fixative and sent to cytopathology for a preparation of a Thinprep slide and rapid cell block. A concurrent transbronchial formalin-fixed biopsy of the false vocal cord mass was also obtained, paraffin-embedded and stained with hematoxylin and eosin (H&E).