Vocal cord papilloma

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Hoarse voice with stridor and difficulty breathing. PH of vocal cord papilloma (resected)

Patient Data

Age: 80 years
Gender: Male
ct

Papillary (lobulated) mass arising from the right vocal cord extending into the laryngeal airway

Case Discussion

Laryngeal papillomatosis is a condition associated with human papilloma virus infection and is characterized by recurrent papillomas in the laryngeal airway including the vocal cord as in this case. It is not thought to be sexually transmitted (by oral sex). It is treated by repeated surgical excision and antiviral medications. If left untreated it can cause substantial airway obstruction as in this case. It is not thought to be premalignant.

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