Breath sounds are clear without stridor or stertor. The oral cavity and oropharynx are normal, as are the cranial nerves on exam. There is no overlying erythema or induration. Physical exam finds a 2-cm, firm, mobile, and nontender mass anterior to the sternocleidomastoid muscle in the patient's mid left cervical lymph node chain. His past medical history is significant for hypertension and COPD, both well controlled with medication. ![]() He also reports dysphagia with solids and worsening odynophagia (painful swallowing), and a 7-kg weight loss over the last 2 months. Two courses of antibiotics and a trial of corticosteroids did not clear the sore throat and mass. A 45-year-old man presents with a 3-month history of sore throat and painless, enlarging, left-sided neck mass.
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