Accepted
at 3:39 a.m. May, 20, 2025
by
Ahmed7
Author:
dyoonars
Type of change:
Updated Tags
Rationale for change
Not related to the tagged UWorld question (QID 22476). The question is about oral leukoplakia and oral squamous cell carcinoma in situ.
+ Tobacco as a risk factor is already discussed on the note with nid 1482191373897, and is properly tagged
No changes in fields
Text
What is the likely diagnosis in an elderly patient with significant smoking history who presents with a hard, non-tender submandibular lymph node and occasional ear pain? Physical exam is otherwise unremarkable
{{c1::Squamous cell carcinoma}}
Extra
- Non-tender, solitary nodes in the head and neck in a patient with a significant smoking history are most likely SCC
- Ear pain may be intermittent or persistent, and is referred from the base of the tongue (CN IX) or hypopharynx/larynx (CN X)
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