57yr old female, refined khaini user. Presented with C/O- Progressive dysphagia (Solids>fluids) x 03months, Dysphonia x 01month.
Poor oral hygiene
Oral subsites- NAD except for loose teeth and stains. Tongue normal power n movement.
Oropharynx- Indurated with palpable proliferative growth BOT & extending to Lt Tonsilar fossa and crossing midline to involve Rt.
FOL- Palpation findings confirmed. Epiglottis pushed and displaced posteriorly. VC Not visualised
CECT with PET-CT reports attached. Diagnosis and plan of management.