Hoarse voice (1 of 5)
Chronic hoarseness in a younger woman, diagnosed elsewhere with “nodules.”

Narrow band light (2 of 5)
At closer range, under narrow band light. Note the two distinct vascular patterns: a finer, stippled one of anterior 1/3 and a more coarse and aberrant one on the mid and posterior fold. The pathology report shows invasive carcinoma-in-situ, which was removed using the CO2 laser.

Post excision (3 of 5)
One week after excision of the lesion.

Healed (4 of 5)
After healing, the right fold normalizes remarkably and the patient’s voice sounds normal to her and to the clinician.

"Cured" (5 of 5)
Two years later, laser excision alone (no doubt along with the patient’s immune system) has produced a durable remission/ “cure.”