A 64-year-old man presents with a 1-month history of progressive hoarseness and occasional aspiration when drinking fluids. He has a 40-pack-year smok...

Question

A 64-year-old man presents with a 1-month history of progressive hoarseness and occasional aspiration when drinking fluids. He has a 40-pack-year smoking history. Examination reveals no oropharyngeal lesions but reduced movement of the left vocal cord on indirect laryngoscopy. What is the most appropriate next step?

Accepted Answer

Refer for urgent CT of neck and chest and ENT review for suspected laryngeal malignancy

Answer

Start proton pump inhibitor therapy for presumed reflux laryngitis

Answer

Reassure and review in 3 months

Answer

Start oral steroids for presumed laryngitis

Answer

Advise voice rest only

au-amc MCQ (SBA): Suspected laryngeal cancer