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HardENTHoarseness and suspected laryngeal cancerca-mccqe1ca-rcpsc-im

A 62-year-old woman with a 30-pack-year smoking history presents with new-onset hoarseness, dysphagia and 8 kg weight loss over 3 months. According to CTFPHC and Choosing Wisely principles, what is the most appropriate initial investigation?

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