A 49-year-old male who is a heavy smoker complained of a change in his voice of 3 years duration in the form of hoarseness. During the last 3 months, his voice became very hoarse and he developed mild respiratory distress. Later he became severely distressed and required a surgical procedure to relieve the distress. On examination, there were bilateral firm non-tender upper neck swellings.
What can be the diagnosis for this patient’s condition? What further investigations would you suggest? *This case is from Docplexus editorial team for educative purpose only Source: Faculty of Medicine Ain Shams University