A case of solitary benign neurofibroma of the recurrent laryngeal nerve is presented. The preoperative diagnosis was in favour of a thyroid cancer. The discovery of this benign tumour leads to discuss the malignancy criteria of a cold nodule. The recurrential paralysis is an evidence of malignancy in only about 80% of cases. The surgical operation is the best treatment because it allows the histology that asserts the benignancy of the lesion. The review of the literature confirms the exceptional nature of this tumour. The respective histology of neurofibromas is finally briefly recalled.
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