Patient History: A 51-year-old female patient was admitted to the hospital because of severe dysphagia of 2 months duration. The condition started by having trouble in swallowing solid food that arrested at the root of the neck but for the last few days, even fluids became also difficult to swallow. She had a change of her voice of one-month duration and a difficulty in breathing for a few days. She gave a history of dysphagia over the last 10 years. Physical Examination: On examination, she had stridor, marked pallor of the mucous membrane of the oral cavity, glazed tongue and marked loss of weight.

Examination of the neck revealed bilateral mobile hard upper deep cervical lymph nodes. The laryngeal click is absent. What are the diagnosis and treatment of this condition? *This patient case is from Docplexus Editorial Team for educative purpose only. Source: 100 Cases in ENT The answers…