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Physical Examination

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Well‐developed male in no distress. Voice strong.

Skin: no suspicious lesions.

Oral cavity examination shows teeth in good condition. No lesions seen or palpated.

Oropharynx: slight fullness of the right tonsil. Difficult to palpate due to gag reflex.

Cervical exam: firm, 3 cm right level IIA neck mass that is mobile on palpation. Salivary gland exam is normal. No other neck masses.

Cranial nerves II–XII intact.

Flexible laryngoscopy is performed and is pictured below (see Figure 9.1).

Essential Cases in Head and Neck Oncology

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