IntroductionLaryngeal neuroendocrine carcinomas (LNECs) are rare tumors of the larynx with a wide spectrum of clinicopathological manifestations. Generally, laryngeal neuroendocrine neoplasms were divided into 2 categories, epithelial and neural, based on their origin. The epithelial subgroup consisted of typical carcinoid, atypical carcinoid, small cell neuroendocrine carcinoma, and large cell neuroendocrine carcinoma. The neural neuroendocrine neoplasm subgroup is mainly referred to as paraganglioma. 1Among these categories, atypical carcinoid is the most common form of neuroendocrine carcinomas in the larynx .Also; prognosis is getting worse from typical carcinoid to small cell neuroendocrine carcinoma.2 Laryngeal neuroendocrine neoplasms represent 0.5 to 1% of laryngeal epithelial carcinomas, occurring more frequently in the supraglottic region with male predominance. 3In this study, we presented a rare case of poorly differentiated NEC (small cell) and described its clinicalopathological presentation. The presentation of this tumor with respiratory distress in a non smoker male patient with a small size mass in subglottic area is the interesting feature of this report.