Читать книгу Essential Cases in Head and Neck Oncology - Группа авторов - Страница 53

A 55‐year‐old man presents with a 6‐month history of a persistent sore throat, which did not improve with antibiotics. He presented to his local otolaryngologist, who identified a right anterior tonsil mass. Biopsy of this mass showed nonkeratinizing, invasive, poorly differentiated SCC, which was p16 positive by immunostaining.

Question: What additional questions would you want to ask?

 Any trouble opening his mouth? Yes. He reports right‐sided jaw pain that limits his mouth opening.

 Any trouble swallowing? Patient denies., but he does have a globus sensation in his throat.

 Any voice changes? Patient denies.

 Any other lumps that have been noticed? Patient denies.

 Any ear pain? Yes. He has pain in his right ear that radiates to his shoulder.

 Has he received any treatment for this? Yes. He is taking acetaminophen‐oxycodone every 3 hours for relief.