A 38-year-old male patient presented to the Out-Patients Department (OPD) with complaints of change in voice and dry cough of one month's duration. They were not associated with throat pain, dysphagia, post-nasal drips or any respiratory difficulty. The ear and nose examinations were normal. On doing indirect laryngoscopy and video laryngoscopic examinations, it was found that there was a globular, yellowish white, sessile mass which was about 1cm in diameter, which arose from the anterior commissure of right vocal cord, which did not move during respiration. Rest of vocal cord, larynx, and hypopharnyx were found to be normal. He was managed with complete voice rest and antibiotics for one week, with no improvement of symptoms. Therefore, patient was planned for Micro Laryngeal Excision and Biopsy.Under general anaesthesia, patient was under taken for micro laryngeal excision and biopsy. A hard, greyish white mass was excised from right vocal cord, from near the anterior commisure, by using micro laryngeal scissors. Care was taken to maintain the mucosal integrity of vocal cord and mass was sent for a histopathological examination [Table/ Fig-1].On haematoxylin eosin staining, the microscopic section showed stratified, squamous epithelium overlying stroma, which contained sub epidermal collection of calcium deposits which were seen in dark blue stains. Post-operatively, serum free calcium, parathormone and calcitonin levels were studied and they were found to be normal. Patient was followed up for a period of 6 months. He was symptom free and laryngoscopic examination revealed normal vocal cords [Table/ Fig-2].
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