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Social History

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Former smoker with 40 pack‐year history, quit more than 20 years ago. Former drinker, quit more than 20 years ago.

Question: What additional questions would you want to ask?

 Any trouble swallowing? Yes.

 Any recent infection? Patient Denies.

 Any hemoptysis or hematemesis? Patient Denies.

 Any difficulty opening and closing the mouth? Patient denies.

 Any other masses in the neck that have been noticed? Patient denies.

 Any sexually transmitted diseases? None known. The presence of these may increase likelihood of HPV exposure.

 History of tracheostomy or gastrostomy? Patient denies. The presence of these may suggest dependence postoperatively.

 Performance status? ECOG 1.

Essential Cases in Head and Neck Oncology

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