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When a throat mass is found during evaluation for throat issues like soreness, swallowing problems, or hoarseness, a biopsy is performed to check for cancer. This procedure requires general anesthesia to prevent gagging and protect the airway. After intubation, a mouthguard is used to guard the upper teeth. A direct laryngoscope is employed to visualize the mass, and a cup forcep is inserted to obtain a tissue specimen, which is sent to pathology for microscopic analysis and diagnosis. Additionally, while the patient is sedated, the esophagus is often checked for any masses. After the examination, all necessary biopsies are taken.