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MediumENTHoarseness (Suspected Laryngeal Cancer)ukmlamrcgp aktpane

A 55-year-old male presents with a 3-month history of hoarseness. He is a heavy smoker (30 pack-years) and consumes approximately 30 units of alcohol per week. There are no other associated symptoms like dysphagia, weight loss, or neck lumps. According to NICE NG12 (Suspected cancer: recognition and referral), what is the most appropriate next step?

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