16th February 2025

A 66-year-old gentleman with a history of alcohol excess complains of a hoarseness of voice lasting three months.

A 66-year-old gentleman with a history of alcohol excess complains of a hoarseness of voice lasting three months. He is otherwise well.

Examination of the oropharynx is unremarkable, and he is found to have enlarged cervical lymph nodes.

Flexible nasendoscopy reveals white plaque-like lesions on both vocal cords, predominantly the left.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.