A case of severe inflammation with an exuberant granulation lesion of
the larynx that mimicked laryngeal tumour is presented. A patient who
was a chronic smoker, with a history of hoarse voice underwent multipl
e endoscopies and biopsies, confirmed histopathologically as acute and
, subsequently, as chronic inflammation. The tumour-like tissue in the
larynx responded dramatically to prolonged antibiotic treatment. We e
mphasize the importance of histological confirmation before embarking
an removal of an essential organ or part of the body which could lead
to physical or emotional scarring.