This shows the larynx opened from behind to display an irregularly nodular lesion occupying the
area of the vocal chords, which can be identified only on the left. The lesion is partly ulcerated and
extends upwards to the base of the epiglottis, and appears to be infiltrating downward beneath the
This man was admitted to hospital at the age of 84 with a history of progressive shortness
of breath, hoarseness for 2 years and laryngeal stridor for a few months. Because of his general
condition, laryngoscopy was not possible. He died shortly after admission.