A case of a low grade chondrosarcoma of the cricoid cartilage which had been diagnosed intially as a chondroma is presented. The tumour reurred twice after limited surgical resections. Total laryngectomy was inecvitable due to near total involvement of the cricoid cartilage and subsequent histological examination revealed a low grade chondrosacroma. We have discussed in brief, the diagnosis and treatment of chondrosarcomas of the larynx and support the view of consecutive surgical managaement of low grade tumours as they are slow growing and metastates are infequent. A total laryngectomy may be reserved for salvage or primarily when more than half of the cricoid cartilage needs to be resected.
Histologicalgrading reveals the biological behaviour of the tumour and CT scans help in planning the surgery. A regular follow-up is necessary for early detection of recurrences and metastases.