头及颈部原发性平滑肌肉瘤罕见，而发生于喉者更罕见，迄今文献仅１１例报告。本文病例为第１２例，系６２岁男性。反复声嘶３年，嗜烟酒，有食管裂孔疝史。３年来曾诊断为后鼻孔滴涕、慢性肥厚性喉炎及声带息肉，曾接受言语矫治、抗返流剂、声带息肉摘除及声带上皮剥脱术。３? Primary and neck primary leiomyosarcoma rare, but occurred in the larynx more rare, so far only 11 cases reported in the literature. This case is the 12th case, a 62-year-old male. Repeated hoarseness 3 years, addicted to alcohol and tobacco, a history of esophageal hiatal hernia. 3 years has been diagnosed as nasal post-nasal discharge, chronic hypertrophic laryngitis and vocal cord polyps, who have received speech therapy, anti-reflux agents, vocal cord polyp removal and vocal cord epithelial exfoliation. 3?