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Male patient, 56 years old
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Stage: T3 (T ≥ 4.1 cm) N3b* M0 (stage IVa)
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Primary starts from the right tonsil, spreads down to
the glosso-epiglottic fold, soft palate involvement
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Positive nodes in the same side of the tumor (levels
2, 3 and 5)
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*8
th
ed TNM with update for HPV positive
Oropharynx tumors, in our case involvement of neck
muscles
Staging