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Small cell lung cancer presenting with hoarseness
  1. Yun-Pei Lin1,
  2. Ting-Shou Chang2,
  3. Fu-Zong Wu1,3,4
  1. 1 Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
  2. 2 Department of Otolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
  3. 3 Faculty of Medicine, School of Medicine, National Yang Ming University, Department of Radiology, Taipei, Taiwan
  4. 4 Institute of Clinical Medicine, Department of Radiology, National Yang Ming University, Taipei, Taiwan
  1. Correspondence to Fu-Zong Wu, Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung Veterans General Hospital, Kaohsiung 813, Taiwan; cmvwu1029{at}gmail.com

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A 61-year-old man presented with a 2-year history of progressive hoarseness. He has a 30 pack-year of smoking history. The stroboscopic examination revealed paralysed left vocal cord with asymmetrical motion of arytenoid cartilage (figure 1; online supplement video 1). Under clinical suspicion of lung malignancy, diagnostic imaging modalities were performed. Contrast-enhanced chest CT demonstrated a soft tissue tumour in the middle mediastinum, extending into the aortopulmonary window (asterisk, figure 2). He was diagnosed …

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