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Male patient, 56 years old

Stage: T3 (T ≥ 4.1 cm) N3b* M0 (stage IVa)

Primary starts from the right tonsil, spreads down to

the glosso-epiglottic fold, soft palate involvement

Positive nodes in the same side of the tumor (levels

2, 3 and 5)

*8

th

ed TNM with update for HPV positive

Oropharynx tumors, in our case involvement of neck

muscles

Staging