We report a rare case of isolated extramedullary plasmacytoma (EMP) of the
right true vocal fold in a 38-year-old male with a one-year history of hoar
seness. Immunohistochemical staining of plasma cells in the tumour, showed
over 90 per cent of them to be positive for kappa light chains. After two a
ttempts at local surgical excision and recurrence within 10 months, the tum
our was irradiated.
Only seven reported cases of isolated EMP of the true vocal fold are report
ed in the literature. The therapeutic options are discussed.