A 58-year-old man who is a TV reporter presents to your office with a 2-month history of pharyngeal foreign body sensation. He reports a long history of tobacco consumption (around 30 cigarettes a day) and alcohol abuse (one bottle of wine a day and occasional spirits), without any evidence of other comorbidity. Examination reveals good denture status, and flexible nasopharyngoscopic examination demonstrates an ulcerative and infiltrative lesion about 1.5 cm in diameter in the upper pyriform sinus arising within the aryepiglottic and the pharyngoepiglottic folds. The apex of the pyriform sinus as well as the posterior part of the aryepiglottic fold are free of tumor. Larynx mobility is normal. There is no other obvious abnormality of the upper aerodigestive tract. There are no palpable cervical lymph nodes.

Computed tomography (CT) scan of the head and neck and panendoscopy are required.