A 55-year-old man presents with a painless right neck lump. He is a long-term smoker and drinker. Examination reveals a firm, non-tender 2 cm lymph no...

Question

A 55-year-old man presents with a painless right neck lump. He is a long-term smoker and drinker. Examination reveals a firm, non-tender 2 cm lymph node in the upper jugular region. Oral cavity and oropharyngeal examination are unremarkable. What is the most appropriate next step?

Accepted Answer

Arrange urgent imaging and referral to an ENT/head and neck cancer specialist for further evaluation

Answer

Reassure and review in 6 months

Answer

Start empiric antibiotics for 2 months

Answer

Perform immediate excisional biopsy in the office

Answer

Advise him to stop smoking and no further workup

ca-mccqe1 MCQ (SBA): Suspicious neck mass

A 55-year-old man presents with a painless right neck lump. He is a long-term smoker and drinker. Examination reveals a firm, non-tender 2 cm lymph node in the upper jugular region. Oral cavity and oropharyngeal examination are unremarkable. What is the most appropriate next step?