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Too hard to swallow!
  1. Keith Siau1,2,
  2. Akhmid Aziz3,
  3. Lenny Liew4,
  4. Sauid Ishaq1,5
  1. 1Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, UK
  2. 2Joint Advisory Group, Royal College of Physicians, London
  3. 3Department of Radiology, Dudley Group Hospitals NHSFT, Dudley, UK
  4. 4Department of ENT, Dudley Group Hospitals NHSFT, Dudley, UK
  5. 5Department of Medicine, Birmingham City University, Birmingham, UK
  1. Correspondence to Sauid Ishaq, Department of Gastroenterology, Birmingham City University,Dudley Group Hospitals Dudley,DY1 2HQ United Kingdom ; Sauid.Ishaq{at}dgh.nhs.uk

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Introduction

An 80-year-old woman presented with a 4-month history of intermittent oropharyngeal dysphagia and aspiration, particularly after eating peas. She had no significant medical history and denied additional symptomatology. Gastroscopy revealed a smooth lesion arising in the pharynx abutting the epiglottis (figure 1) but was otherwise unremarkable. Pillow sign was negative. No neck masses were palpable on examination after endoscopy.

Figure 1

Endoscopic appearance of the pharynx.

Question

  1. What is the endoscopic finding and what are the …

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