Question of the Week

For September 29, 2020

A 78-year-old man presents with a lump that has developed near his jaw during the past 3 weeks. He is afebrile and has no associated pain or overlying erythema.

Physical examination reveals a palpable, slightly firm, 1.5-cm, left-sided submandibular mass with no cervical or supraclavicular lymphadenopathy. Cranial nerve function is within normal limits.

What is the most appropriate next step in this patient’s care?

Increased intake of secretagogues, such as lemon drops and citrus drinks
A 7-day course of amoxicillin–clavulanate
Mumps serology testing
Epstein–Barr virus and cytomegalovirus serology testing
CT of the head and neck