Acute Stridor in a 45-Yea...

A 45-year-old male presented with a 1-month history of foreign body sensation and dysphagia, progressing to acute stridor. Indirect laryngoscopy revealed a black mass on the epiglottis and left aryepiglottic fold, occluding the entire laryngeal inlet. Emergency tracheostomy was performed. Fiberoptic laryngoscopy confirmed the mass, obscuring the view of other endolaryngeal structures. CT scan showed no subglottic or tracheal extension. Biopsy from the mass revealed malignant melanoma with melanin pigment, hyperchromatic nuclei, and mucosal and submucosal invasion. Immunohistochemistry was positive for S-100, HMB-45, and Melan-A. This case highlights the aggressive presentation of laryngeal melanoma with rapid airway compromise. Early diagnosis and intervention are crucial for optimal outcomes in these patients.