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Too hard to swallow!
  1. Keith Siau1,2,
  2. Akhmid Aziz3,
  3. Lenny Liew4,
  4. Sauid Ishaq1,5
  1. 1 Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, UK
  2. 2 Joint Advisory Group, Royal College of Physicians, London
  3. 3 Department of Radiology, Dudley Group Hospitals NHSFT, Dudley, UK
  4. 4 Department of ENT, Dudley Group Hospitals NHSFT, Dudley, UK
  5. 5 Department 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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