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A 73-year-old man with hypertension, gastroesophageal reflux disease, and no history of smoking, drinking, or previous cancer, presented to the emergency department at the University of California, Irvine Medical Center (Orange, CA, USA) after acute onset of a protruding oral mass, difficulty breathing, and dysphagia. The patient had been walking his dog on a leash when the dog jerked him forwards, resulting in an episode of coughing, choking, and emesis.
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