2016_Head & Neck COURSE BOOK

TONSILLAR COMPLEX OROPHARYNX: SUBSITES

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

mercoledì 29 giugno 16