Pseudosarcoma of the larynx is rare lesion. There has been called squamous cell carcinoma with sarcoma-like stroma, carcinosarcoma, pleomorphic carcinoma and spindle cell carcinoma. Its primary lesion is a squamous cell or epidermoid carcinoma, but this is often overshadowed or completely missed because of a stroma which suggests anything from high grade spindle cell carcinoma to a variety of sarcoma types, or just a fibroblastic proliferation associated with a chronic inflammatory cell reaction. Recently we have experienced a case of pseudosarcoma of the larynx with metastasis to the cervical lymph node by histopathological examination in a 60 year-old male. He had been performed the total laryngectomy with right radical neck dissection for the cervical lymph node, followed radiotherapy. So we report his case with some review of the literatures.