Case presentation
A 57-year-old non-smoker man referred to our otolaryngology clinic with a history of four-month hoarseness. He also complained of progressive dyspnea since 2 months ago, without cough or aspiration. Direct laryngoscopy revealed a smooth non-ulcerated tumor which was located in the subglottis and vocal cord fixation in the right side. (Figure 1). The mentioned lesion had a red appearance without necrosis. Her general condition was good with unremarkable physical examination. Also, an enlarged cervical lymph node was palpated in level 6.