Читать книгу Essential Cases in Head and Neck Oncology - Группа авторов - Страница 44

A 62‐year‐old Caucasian male is seen in the office with a 2‐month history of a palpable left neck mass.

Question: What additional questions would you want to ask?

 Is it painful? Patient denies.

 Is it tender to the touch? Patient denies.

 Is it growing? Patient denies.

 Any trouble swallowing? Patient denies.

 Any voice changes? Patient denies.

 Any throat pain? Patient denies.

 Any ear pain? Patient denies. Base of tongue/tonsil tumors may produce referred ear pain.

 Any skin changes over the mass? No. Erythema or induration could indicate extranodal extension of a malignancy or an infectious etiology (e.g., scrofula).

 Has he received any treatment for this? Yes. He has undergone two rounds of antibiotic therapy and steroids without decrease in the size of the mass.