Male, 75. Ex-smoker and moderate alcohol intake, with high blood pressure. He refers swallowing pain (odynophagia) since three moths ago, night dyspnoea, dysphagia and weight loss.

ORL examination showed a protruding lesion at the aryepiglottic fold and left arytenoid, completely occluding lumen of laryngeal vestibule and glottis. No palpable adenopathy was noted. A biopsy was performed and the diagnosis of epidermoid carcinoma was made.

Total laryngectomy and left neck dissection for lymph node was performed.

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