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July 1961

Laryngeal Carcinoma Simulating Benign Growth

Arch Otolaryngol. 1961;74(1):50-66. doi:10.1001/archotol.1961.00740030053011

A small percentage of innocuous-appearing laryngeal growths surprisingly may prove to be malignant. One of us (S.A.F.) has observed this discrepancy with curiosity over a period of years. This report will summarize the histories, pathologic findings, and treatment in 24 patients whose lesions varied from the usual or readily recognizable forms of laryngeal malignancy.

The only confusing element in these observations has been the gross aspect of the presenting lesions. In reviewing the original descriptions of indirect and direct laryngoscopic examinations, we find the terms "polypoid," "papillary," and "nodular" most frequently used. There were, however, several instances where more sizable lesions of misleading appearance were encountered. These are best designated as "miscellaneous." Summarizing the total experience, it

seems that the above classification is most applicable to the group of laryngeal neoplasms which may simulate benign growths.

Polypoid Lesions  Case 1.—A married woman, age 49, a public-relations counselor and a nonsmoker,

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