<prompt> The preferred treatment of verrucouse carcinoma of the larynx isEndoscopic removalElectron beam therapyPulmonary surgeryTotal laryngectomy  <response>: Verrucous Carcinoma 1 Verrcous carcinoma makes up only 1-2 of laryngeal carcinomas. 2 The larynx is the second most common site of occurence in the head and neck after the oral cavity. 3 Most common site of involvement is vocal cord. 4 Grossly, verrucous carcinoma appears as a fungating, papillomatous, grayish white neoplasm. 5 Microscopically, it is well differentiated squamous cell carcinoma with minimal cytological atypia. 6 It has low metastatic potential . 7 Hoarseness is the most common presented symptom. Pain and dysphagia may occur but are less common. 8 Treatment of most verrucous tumors is primary surgery. Endoscopic laser surgery is appropriate as the tumor is less aggressive than usual squamous cell carcinoma. Ref:- Current otolaryngology; pg num:- 444 