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TITLE: Neck Dissection and Sentinel Lymph Node Biopsy SOURCE: Grand Rounds Presentation, UTMB, Dept. ... - page 5 / 9

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Anterior

Facial, Ib

Lateral

Parotid

Posterior

Occipital, V

Medial

Ib

Lateral

Parotid, II

Ia, Ib, II

Anterior

Parotid, II

Posterior

Post auricular, II, V

Parotid, II

Anterior

Ia, Ib, IIa > IIb

Lower incisors

Ia, Ib, IIa > IIb

Lateral

Ib, IIa > IIb, III

Teeth except incisors

Ib, IIa > IIb, III

Anterior

Ib

Posterior

Retropharyngeal, II, V

Retropharyngeal, II, III, V

IIb > IIa, III, IV, V

Supraglottic

IIa > IIb, III, IV

Subglottic

VI, IV

IV, VI

VI, IV, V, Mediastinal

Tip

Ia, Ib, IIa > IIb, III, IV

Lateral

Ib, IIa > IIb, III, IV

Face and Scalp

Eyelids

Chin External Ear

Middle Ear Floor of mouth

Nasal Cavity

Nasopharynx Oropharynx Larynx

Cervical esophagus

Thyroid Tongue

Staging

The “N” or nodal classification for cervical metastasis is consistent for all mucosal sites except the nasopharynx. Thyroid and nasopharyngeal carcinomas have unique nodal classifications that are based upon tumor behavior and prognosis. The staging systems for cervical metastases have been established by the American Joint Committee on Cancer. These systems are based on the best possible estimate of the extent of disease before first treatment. Clinical information including physical exam and imaging modalities are used to contribute to this estimate.

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