A patient presents with cheek ca of 2.5 cm size close to and involving the alveolus with a single mobile cervical lymph node of 6 cm size. What is the TNM staging
Correct Answer: T4 N3
Description: TNM staging given in image Carcinoma Buccal Mucosa (Cheek) MC site of carcinoma oral cavity in India : Bucccal Mucosa. Related to chewing a combination of tobacco mixed with betel leaves, are a nut and lime shell Most malignant tumors are low grade SCC Frequently appearing on background of leukolakia. Lymphatic spread is first to Level I and II LNs Clinical features Pain is minimal, obstruction of stenson's duct can lead to parotid Enlargement Treatments T1: Excision with primary closure T2: Surgery +- Radiotherapy T3 and T4 surgery + Radiotherapy or chemoradiation Ref: Bailey and love 27th edition Pgno :772
Category:
Surgery
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