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
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