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. 2018 Mar 22;97(Suppl 1):S48–S113. doi: 10.1055/s-0043-121596

Table 3 TNM classifications of OSCC in the 7 th and 8 th edition.

TNM, 7 th edition TNM, 8 th edition
p16-negative p16-positive
T T T
c/p T1 ≤2 cm c/p T1 ≤2 cm c/p T1 ≤2 cm
c/p T2 >2 cm, ≤4 cm c/p T2 >2 cm, ≤4 cm c/p T2 >2 cm, ≤4 cm
c/p T3 >4 cm without extension to the lingual epiglottis c/p T3 >4 cm without extension to the lingual epiglottis c/p T3 >4cm without extension to the lingual epiglottis
c/p T4a Infiltration of the larynx, outer tongue muscles, hard palate, mandible c/p T4a Infiltration of the larynx, outer tongue muscles, hard palate, mandible, lamina med. pterygoid process c/p T4 Infiltration of the larynx, outer tongue muscles, lamina med./lat. pterygoid process, hard palate, mandible, lateral pterygoid muscle, skull base, ACI, lateral nasopharynx
c/p T4b Infiltration of the lateral pterygoid muscle, skull base, ACI c/p T4b Infiltration of the lateral pterygoid muscle, skull base, ACI
N cN cN
c/p N0 No regional lymph node metastases cN0 No regional lymph node metastases cN0 No regional lymph node metastases
c/p N1 Ipsilateral, solitary ≤3 cm cN1 Ipsilateral, solitary ≤3 cm cN1 Ipsilateral, solitary or multiple, ≤6 cm
c/p N2a Ipsilateral, solitary, >3-6 cm cN2a Ipsilateral, multiple, >3-6 cm cN2 Contralateral or bilateral, ≤6 cm
c/p N2b Ipsilateral, multiple, ≤6 cm cN2b Ipsilateral, multiple, ≤6 cm
c/p N2c Bilateral, contralateral ≤6 cm cN2c Bilateral, contralateral ≤6 cm
c/p N3 Metastases >6 cm cN3a Metastases >6 cm cN3 Metastases >6 cm
cN3b ECS
pN pN
pN0 No regional lymph node metastases pN0 No regional lymph node metastases
pN1 Ipsilateral solitary ≤3 cm pN1 ≤4 affected lymph nodes
pN2a Ipsilateral solitary, ≤3 with ECS or ≤6 cm without ECS pN2 ≥5 affected lymph nodes
pN2b Ipsilateral multiple ≤6 cm, without ECS
pN2c Bilateral, contralateral ≤6 cm without ECS
pN3a Metastases >6 cm, no ECS
pN3b Metastases >3 cm with ECS or contra-/bilateral with ECS