TABLE 1:
Patient No. | Age (y)/Sex | Diagnosis | Preoperative Staging* | Nodal Status on Conventional Images (CT Scan or MR Image) | Postoperative Staging |
---|---|---|---|---|---|
1 | 44/F | SCC tongue | T3N1 | CT: negative (N1 based on palpation) | T3N2c |
2 | 59/M | SCC floor of mouth | T2N0 | MR: negative | T2N0 |
3 | 56/M | SCC buccal mucosa | T2N0 | MR: negative | T1N0 |
4 | 64/F | SCC oropharynx | T3N0 | CT:negative | T2N0 |
5 | 53/M | SCC oropharynx | T3N2a | MR: multiple abnormal nodes | T3N2a |
6 | 57/M | SCC oropharynx | T4N2c | MR: multiple abnormal nodes | T4N2c |
7 | 52/M | SCC tongue | TxN2b† | MR: multiple abnormal nodes | TxN2b |
8 | 72/M | SCC retromolar trigone | T2N2b | MR: multiple abnormal nodes | T1N2b |
9 | 72/F | SCC nasal cavity | TxN1† | CT: single necrotic node | TxN1 |
10 | 63/M | SCC tongue | T3N0 | MR: negative | T2N0 |
11 | 71/M | SCC tongue | T3N0 | MR: negative (but N1 based on PET) | T3N1‡ |
12 | 79/F | SCC alveolar ridge | T3N2b | MR: multiple abnormal nodes | T4N2b |
13 | 74/M | SCC retromolar trigone | T2N0 | MR: negative | T2N1‡ |
14 | 65/F | SCC alveolar ridge | T4N0 | MR: negative | T4N0 |
15 | 47/M | SCC tongue | TxN2b† | CT: multiple abnormal nodes | TxN2b |
16 | 83/F | SCC tongue | T1N0 | MR: negative | T1N0 |
17 | 52/M | SCC tongue | T1N0 | MR: negative | T1N0 |
18 | 44/F | SCC tongue | T1N0 | MR: negative | T1N0 |
19 | 66/M | SCC alveolar ridge | T4N0 | MR: negative | T4N0 |
20 | 85/F | SCC buccal mucosa | T4N0 | CT: negative | T4N1‡ |
21 | 62/M | SCC floor of mouth | TxN2b† | CT: multiple abnormal nodes | TxN2b |
Note.—F indicates female; M, male; SCC, squamous cell carcinoma; PET, positron emission tomography.
All patients were staged as M0. Preoperative staging was based on clinical palpation and conventional anatomic imaging with CT and/or MR imaging, not high resolution MR imaging.
Primary site previously excised (hence, the “Tx” designation), but no radiation or other therapy to the neck previously received. Patient evaluated and treated for neck disease.
Three patients preoperatively staged as N0 were upstaged to N1 based on pathologic findings.