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According to the current regulations pertaining to occupational diseases lung cancer and mesothelioma can be compensated as asbestos-related malignomas under certain circumstances. For several years there has been controversial discussion as to whether laryngeal carcinomas can also be caused by occupational asbestos exposure and should therefore be added to the list of occupational diseases. Critical evaluation of the available scientific knowledge with the scope of currently applicable regulations does not warrant adding asbestos-related laryngeal carcinomas to the list of occupational diseases at present. Further investigations are urgently necessary and may possibly bring new insights.