Leiomyosarcoma of the larynx is an extremely rare malignancy. Until now, on
ly 35 cases have been reported, and only 19 were reported in English. We pr
esent 2 new cases observed in the last 3 years at our department. Correct h
istologic diagnosis can only be made on immunohistochemical and electron mi
croscopic grounds. A 65-year-old man previously treated for a premalignant
vocal cord lesion and a 31-year-old woman who previously underwent operatio
n on a benign vocal cord lesion are presented. Only surgical treatment (tot
al laryngectomy and endolaryngeal laser resection) was performed. Thirty-si
x and 22 months after the initial surgical intervention, both patients are
alive and well, with no evidence of local recurrence or distant metastasis.