A 48-year-old woman presents with progressive deepening of her voice and persistent hoarseness for several months. She has a heavy smoking history. Laryngoscopy reveals diffuse, symmetric, polypoid, bilateral gelatinous fluid accumulation in the superficial layer of the lamina propria of both true vocal cords. What is the most likely diagnosis?

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NBE does not officially release NEET PG papers per the 2025 Supreme Court directive. This question was reconstructed from 1 community source: Collegedunia NEET PG 2026 Memory-Based Paper. Cross-verified by Claude Haiku 4.5 + Gemini 2.5 Flash + community-aggregate vote, then reviewed by a practising medical SME.

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