Now it is time to refer your patient to a specialist.

Indications for referral to an otolaryngologist:

1. You suspect a diagnosis and your patient needs management.
2. You suspect a diagnosis, but you want a second opinion.
3. You suspect a diagnosis, but your patient wants a second opinion.
4. You have absolutely no idea.

It is important to obtain as much information as possible about the tumour and metastasis before referral so that you can expedite treatment, You have done so by obtaining a tissue diagnosis, imaging the masses, and ruling out other lesions / metastasis.

On to Treatment