Spontaneous malignant degeneration of juvenile laryngeal papilloma in the absence of radiotherapy is exceedingly rare, and few such cases have been reported. The patient reported here, now a woman of 48, has been suffering from recurrent juvenile laryngeal papilloma since she was 13. During the last six years the papillomas have displayed increasing atypia and have spread to the trachea and the bronchus of the right inferior lobe.
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