Rajeshwari, MadhuSakthivel, PirabuYogal, RijendraPanda, SmritiSingh, Chirom AmitJain, Deepali2026-08-192026-08-192020https://hdl.handle.net/20.500.14572/7359Madhu Rajeshwari Department of Otorhinolaryngology and Head-Neck surgery, All India Institute of Medical Sciences, New Delhi, India Pirabu Sakthivel Department of Pathology, All India Institute of Medical Sciences, New Delhi, India Rijendra Yogal Department of Otorhinolaryngology and Head-Neck surgery, All India Institute of Medical Sciences, New Delhi, India Smriti Panda Department of Otorhinolaryngology and Head-Neck surgery, All India Institute of Medical Sciences, New Delhi, India Chirom Amit Singh Department of Otorhinolaryngology and Head-Neck surgery, All India Institute of Medical Sciences, New Delhi, India Deepali Jain Department of Pathology, All India Institute of Medical Sciences, New DelhiAbstract Composite tumor of larynx, a recently included entity in the current WHO classification, is often a difficult pathological diagnosis, especially in small biopsies. We report a case of laryngeal composite tumor, initially misdiagnosed as squamous cell carcinoma, which later turned out to be composite in nature, with associated neuroendocrine (small cell carcinoma) component. This report emphasizes the need for obtaining deeper biopsies and their thorough pathological examination to improve the diagnostic accuracy. Keywords: combined small cell carcinoma; composite tumor; larynx; small cell carcinoma; squamous cell carcinoma.en-UScombined small cell carcinomacomposite tumorlarynxsmall cell carcinomasquamous cell carcinomaArticle