A 49-year-old man presented to the clinic complaining of a sore throat for the previous two months. Additionally, he has noticed difficulty in initiating swallowing due to throat pain. The patient is an alcoholic, and he smokes 2 packs of cigarettes for the last 15 years. Physical examination reveals ulcerative lesions on the left side. Biopsy has revealed squamous cell carcinoma. What is the first site of the spread of this malignancy?

Question

Quizplus · Accepted Answer

Eductional Objective: Squamous cell carcinomas located in the head and neck spread primarily to the anterior cervical lymph nodes. Distant metastasis is a late spread site for squamous cell carcinoma.

A 49-Year-Old Man Presented to the Clinic Complaining of a Sore