What to do next. Perform a thorough head and neck exam under anesthesia Perform triple endoscopy: ( nasopharyngolaryngoscopy , bronchoscopy , esophagoscopy ) Get a biopsy of the oral cavity ulcer. Thorough head and neck exam. Biopsy of primary
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-Radiation therapy -for adjuvant or definitive therapy considerations
-Dental: pre radiation dental treatment and for post therapy