63 y old women.Ex-smoker (TI:50 p/y)

Medical history:- Liver transplant 2004- Duodenal Ulcus- HBP- Superior left lobectomy (Sept 2023 T3N0 (due to history of liver transplant adjuvant is discarded)- Chronic laryngitis diagnosed during intubation. No symptoms.

During follow-up of chronic laryngitis and assimptomatic leukoplastic lesion in the middle 1/3 of LVC.

Exophytic lesion in the right ventricular band with extension to the epiglottis foot. with pathologic NBI pattern No cervicla nodes.

Stable leukoplakia in LVC(compared with ENDOBASE).

CT scan: no adenoplathies, superficial lesion in the right supraglottis.

MTB: TOLMS for supraglottic lesion and removal of glottic leukoplakia