Rare Vocal Cord Lesion Presenting as Shortness of Breath: Inflammatory Myofibroblastic Tumour of the Larynx

Inflammatory myofibroblastic tumours (IMTs) are rare soft tissue neoplasms of malignant potential which are infrequently encountered in the larynx. These lesions can mimic benign pathologies and present challenges in diagnosis and management due to their rarity and varied clinical presentations. We report a case of a 69‐year‐old male with a four‐year history of progressive dyspnoea and a 20‐year history of hoarseness. Flexible nasendoscopy revealed a polypoid mass on the left vocal fold. Surgical excision via microlaryngoscopy with coblation was performed without complications. Histopathology and molecular testing confirmed the diagnosis of an ALK‐positive IMT. The patient’s symptoms resolved entirely postoperatively with no evidence of recurrence at 18‐month follow‐up. This case represents the importance of histopathological analysis and multidisciplinary discussion in the management and surveillance of rare tumours. Whilst there is limited information on cancer‐specific and overall outcomes, the malignant potential of IMT has implications for the monitoring of recurrence.