A 70 Year old male complains of ulceration on Lower lip since 1 moth with Lymph node involvement. Patient has history of tobacco chewing since 30 years 6-7 times per day, patient also complains of loss of weight since 2 months and change in voice since one month

A reliable clinical condition to consider for the diagnosis as malignancy is: (A) An ulcerative lesion, (B) An ulcerative and painful lesion, (C) Ulceration and fixation of the lymph node, (D) Bilateral involvement of lymph node
Answer is C. None