A 40-year-old female began to experience difficulty in swallowing for the last 3 years. This difficulty in swallowing was to all kinds of food and the condition showed variation in the degree of dysphagia and was associated with a sense of obstruction at the root of the neck. For the last 2 months, she developed rapidly progressive difficulty in swallowing even to fluids together with a change in her voice. Recently she noticed a firm non-tender swelling in the right upper neck.
What could be the diagnosis for this patient? What further investigations do you suggest for the same? *This case is from Docplexus editorial team for educative purpose only Source: Faculty of medicine Ain Shams Univeristy