Question:


Identify the lesion of the vocal cord in the image given below:

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HPV 6 and 11 wart-like growth on vocal cords - benign.
Updated On: Jun 23, 2026
  • Reinke's edema
  • Laryngeal Papilloma
  • Malignancy
  • Tracheomalacia
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The Correct Option is B

Solution and Explanation

Step 1: The image shows laryngeal papillomatosis (recurrent respiratory papillomatosis, RRP), the most frequent benign tumour of the larynx.
Step 2: It is caused by human papillomavirus (HPV) types 6 and 11 and is the second most common cause of hoarseness in children.
Step 3: The papillomas sit primarily on the vocal cord margins, anterior commissure and epiglottis, and although benign they cause obstructive symptoms due to their location on the cords.
Step 4: The wart-like, frond appearance distinguishes it from Reinke's edema (smooth polypoid swelling), malignancy (ulceroproliferative mass) and tracheomalacia - so the lesion is laryngeal papilloma.
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