A case of laryngeal carcinoid in a 54-year-old korea female is reported and discussed. This tumor is extremely rare in the larynx and there have been just over twenty cases reported in the world literature to date. The case showed an initial histologic finding of epithelial dysplasia and was finally confirmed to be a carcinoma. An electron microscopic study revealed neurosecretory type granules. Although the patient underwent a total laryngectomy and radical neck dissection, multiple hepatic metastasis were noted postoperatively.