technically pathologist need to see the invasion of vase ment layer to label as carcinoma otherwise it is dysplasia..when biopsy is done superficially, base ment membrane is not included in th biopsy hence technically can not label as carcinoma..so deep biopsy is adviced
but the changes which are seen in superficial layer correspond with carcinoma and hence mentioned suspicious of carcinoma
Next Steps
do a repeat biopsy for proving carcinoma
do CECT base skull to mediastinum
prepare to get operated as soon aa possible