A 49-Year-Old Man Presented to the Clinic Complaining of a Sore

A 49-year-old man presented to the clinic complaining of a sore throat for the previous two months. Additionally, he has noticed difficulty in initiating swallowing due to throat pain. The patient is an alcoholic, and he smokes 2 packs of cigarettes for the last 15 years. Physical examination reveals ulcerative lesions on the left side. Biopsy has revealed squamous cell carcinoma. What is the first site of the spread of this malignancy?

A) Adenoid tissue
B) Adrenal glands
C) Gray-white matter junction
D) Jugular lymph nodes

Correct Answer:

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