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A case of primary oat cell carcinoma of the larynx is described and the literature reviewed. The origin of this rare tumor and the natural history of the disease are discussed. The different treatment modalities carried out so far are described.

st century. As part of this effort, we established several panels to examine specific issues, including a panel to review the ways in which information technology can transform health care and increase access to care for all citizens. The Federal government has a critical role to play in driving this progress, which PITAC has outlined in our report enclosed with this letter, Transforming Health Care Through Information Technology. Information technology provides many exciting applications for the health sector, such as computer-aided surgery, the use of telesensing methods to examine patients from their homes, and patient/doctor interaction via the Internet and digital medical libraries. Information technology tools can provide the health care sector with unprecedented productivity and quality of care if there is a strategic vision and adequate research to ensure success. However, PITAC found that at present the U.S. lacks a broadly disseminated and accepted national vision for information technology in health care. In addition, the biomedical community, including the Federal agencies, is not focused on the basic, long-term information technology research required to provide the community with the state of the art tools necessary to take full advantage of the Information Age. In order to rectify this situation, PITAC strongly recommends that the Department of Health and Human Services (DHHS) outline its vision for using information technology to improve health care in this country and devote the necessary resources to do the basic information technology research critical to accomplishing these goals in the long term. Further, DHHS should appoint a senior information technology leader to provide strategic leadership across DHHS and focus on the importance of information technology in addressing pressing problems in health care. We further recommend four ways that the information technology/health care nexus can be Accomplished: