By (auth.), Frederick L. Greene M.D., David L. Page M.D., Irvin D. Fleming M.D., April G. Fritz C.T.R., R.H.I.T., Charles M. Balch M.D., Daniel G. Haller M.D., Monica Morrow M.D. (eds.)
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The pattern of the lymphatic drainage varies for different anatomic sites. However, the location of the lymph node metastases has prognostic significance in patients with squamous cell carcinoma of the head and neck. , Level IV and Level V (supraclavicular region). Consequently, it is recommended that each N staging category be recorded to show, in addition to the established parameters, whether the nodes involved are located in the upper (U) or lower (L) regions of the neck, depending on their location above or below the lower border of the cricoid cartilage.
Laryngoscope 108:908-916, 1998 Perez CA, Patel MM, Chao KS, Simpson JR, Sessions D, Spector GJ, Haughey B, Lockett MA: Carcinoma of the tonsillar fossa: prognostic factors and long-term therapy outcome. Int J Rad Onc, Biol Phys 42:1077-1084, 1998 Prehn RB, Pasic TR, Harari PM, Brown WD, Ford CN: Influence of computed tomography on pretherapeutic tumor staging of head and neck cancer patients. Otolaryngol-Head Neck Surg 199:628-633, 1998 Pugliano FA, Piccirillo JF, Zequeira MR, Emami B, Perez CA, Simpson JR, Frederickson JM: Clinical-severity staging system for oropharyngeal cancer: five-year survival rates.
I:! 2 -·-3 60 .. ___ 4 40 11. 3 104 96 205 669 FIG. 38. Five-year, relative survival by "combined" AJCC stage for squamous cell carcinoma of the nasopharynx, 1985-1991. ) 38 American Joint Committee on Cancer' 2002 100 90 10 Stage __ 1 70 •> 60 ........ 2 ~ 60 -'-3 ~ •!! • ---. 2 FIG. 4A. Five-year, observed survival by "combined" AJCC stage for squamous cell carcinoma of the oropharynx, 1985-1991. 5 FIG. 48. Five-year, relative survival by "combined" AJCC stage for squamous ceU carcinoma ofthe oropharynx, 1985-1991.
AJCC Cancer Staging Manual by (auth.), Frederick L. Greene M.D., David L. Page M.D., Irvin D. Fleming M.D., April G. Fritz C.T.R., R.H.I.T., Charles M. Balch M.D., Daniel G. Haller M.D., Monica Morrow M.D. (eds.)