<prompt> A 65-year-old smoker presents with hoarseness, hemoptysis and a hard painless lump in the left supraclavicular fossa. Which of the following is the most appropriate diagnostic step -Undeake an open biopsy of the neck lumpUndeake a radical neck dissectionDo fine needle aspiration cytologyGive a trial of Anti tuberculous therapy  <response>: Ans. is a i.e., Undeake an open biopsy of the neck lump 