1naresh
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Patient No. Age (y)/Sex Diagnosis Preoperative Staging* Nodal Status on Conventional Images (CT Scan or MR Image) Postoperative Staging 1 44/F SCC tongue T3N1 CT: negative (N1 based on palpation) T3N2c 2 59/M SCC floor of mouth T2N0 MR: negative T2N0 3 56/M SCC buccal mucosa T2N0 MR: negative T1N0 4 64/F SCC oropharynx T3N0 CT:negative T2N0 5 53/M SCC oropharynx T3N2a MR: multiple abnormal nodes T3N2a 6 57/M SCC oropharynx T4N2c MR: multiple abnormal nodes T4N2c 7 52/M SCC tongue TxN2b† MR: multiple abnormal nodes TxN2b 8 72/M SCC retromolar trigone T2N2b MR: multiple abnormal nodes T1N2b 9 72/F SCC nasal cavity TxN1† CT: single necrotic node TxN1 10 63/M SCC tongue T3N0 MR: negative T2N0 11 71/M SCC tongue T3N0 MR: negative (but N1 based on PET) T3N1‡ 12 79/F SCC alveolar ridge T3N2b MR: multiple abnormal nodes T4N2b 13 74/M SCC retromolar trigone T2N0 MR: negative T2N1‡ 14 65/F SCC alveolar ridge T4N0 MR: negative T4N0 15 47/M SCC tongue TxN2b† CT: multiple abnormal nodes TxN2b 16 83/F SCC tongue T1N0 MR: negative T1N0 17 52/M SCC tongue T1N0 MR: negative T1N0 18 44/F SCC tongue T1N0 MR: negative T1N0 19 66/M SCC alveolar ridge T4N0 MR: negative T4N0 20 85/F SCC buccal mucosa T4N0 CT: negative T4N1‡ 21 62/M SCC floor of mouth TxN2b† CT: multiple abnormal nodes TxN2b
Note.—F indicates female; M, male; SCC, squamous cell carcinoma; PET, positron emission tomography.
* All patients were staged as M0. Preoperative staging was based on clinical palpation and conventional anatomic imaging with CT and/or MR imaging, not high resolution MR imaging.
† Primary site previously excised (hence, the “Tx” designation), but no radiation or other therapy to the neck previously received. Patient evaluated and treated for neck disease.
‡ Three patients preoperatively staged as N0 were upstaged to N1 based on pathologic findings.