58-year-old man

Former smoker (IT: 40 packs/year). Quit smoking in 2018

Cancer in situ on the right vocal cord in 2018 (TOLMS, another center)

October 25: persistent hoarseness

Exophytic lesion on the right vocal cord. NBI suspicious for malignancy. Laryngeal dysplasia. Ventricle and AC appear clear. Motility preserved

MTB: explain the need for an excisional biopsy and treatment options

Plan: TOLMS microlaryngoscopy

Oct 2025