Sore throat. Lump in the neck.
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Large infiltrating mass of the left palatine and base of the tongue tonsil invading the medial pterygoid muscle and the submandibular gland. Multiple, partly necrotic nodal metastases. Rounded soft tissue lesion in the left dorsal hypopharynx, adjacent to the aryepiglottic fold.
This case shows a malignancy epicentered at left tonsil.