In a patient from a histoplasmosis-endemic region, laryngeal histoplasmosis caused by Histoplasma capsulatum was diagnosed after biopsy revealed granulomatous inflammation and fungal organisms.

Early consideration and biopsy are key when evaluating ulcerative laryngeal lesions.

A 61-year-old man presented to the otolaryngology clinic with a 2-month history of progressive hoarseness, dysphagia, odynophagia, and persistent globus sensation. What is your diagnosis?