Question

A 60-year-old presents with progressive difficulty swallowing, predominantly solids, and hoarseness. Examination reveals a large supraglottic mass. According to NICE guidance, what is the next step?

Accepted Answer

Urgent referral for suspected head and neck cancer with laryngoscopy/biopsy

Answer

Biopsy via flexible nasendoscopy in clinic

Answer

CT scan of the neck only

Answer

Prescribe proton pump inhibitors for suspected reflux

Answer

MRI brain

Practice question

A 60-year-old presents with progressive difficulty swallowing, predominantly solids, and hoarseness. Examination reveals a large supraglottic mass. According to NICE guidance, what is the next step?