Introdaction: Inflammatory myofibroblastic tumor [IMT] is a benign pseudoneoplastic proliferation which arises mainly in the lung , but extremely rarely may develop in the larynx. We report a rare case of a laryngeal IMT, mimicking a neoplastic lesion. Material and Method:A 56 years old male patient presented with a history and symptomatology typical for laryngeal carcinoma. The patient reported gradual hoarseness of the voice for 6 months and dyspnoea and stridor after effort. The patient is heavy smoker and a heavy drinker and reported nothing else significant from his medical report. Examination revealed a large mass arising from the right vocal cord, causing significant obstraction of the glottis. Results:The patient underwent microlaryngoscopy for biopsy, but complete excision of the tumor in a single specimen was performed. The intubation, operation and postop period went uneventful. The patient was discharged from the hospital the following day. Histopathologic features of the specimen were diagnostic for inflammatory myofibroblastic tumor. Follow up laryngoscopy after 8 months showed normal findings and the patient is asymptomatic. The patient remains in close follow up. Conclusion:In patients with chronic hoarseness who have a malignant looking laryngeal tumor inflammatory myofibroblastic tumor should be considered. Conservative surgery, with occasionally additional steroid treatment and close follow up of the patient, is recommended.