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Male patient, 52 years old

Stage: T3 (T ≥ 4.1 cm) N2b M0 (stage IVa)

Primary starts from the left tonsil, spreads down to the pre-epiglottic

space, soft palate involvement

Positive nodes in the same side of the tumor (left LC space) and upper

retro-pharyngeal space

Evaluation of HPV status: positive

Staging