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Frequent localization of oropharyngeal SCC (HPV-related)

Symptoms

: odynophagia, dysphagia, otalgia, bleeding, decreased

tongue motility, trismus (invasion of pterygoid muscles)

Positive N

at the diagnosis:

66-76%

(mainly confined to the ipsilateral

jugulodigastric nodes) (cystic mets are typical for HPV-related lesions)

Contralateral N+

: up to 22% involving the posterior pillar and true tonsil,

versus up to 6% with T confined to the anterior pillar

TONSILLAR COMPLEX

OROPHARYNX: SUBSITES

mercoledì 29 giugno 16