Oropharyngeal (p16-negative) cancer (staging)

Changed by Craig Hacking, 4 May 2017

Updates to Article Attributes

Body was changed:

T staging of oropharyngeal tumours is as follows:

Definition

The oropharynx includes the base of the tongue, the inferior surface of the soft palate and uvula, the anterior and posterior tonsillar pillars, the glossotonsillar sulci, the pharyngeal tonsils, and the lateral and posterior pharyngeal walls.

Staging

  • -<p><strong>T staging of oropharyngeal tumours </strong>is as follows:</p><h4>Definition</h4><p>The <a title="Oropharynx" href="/articles/oropharynx">oropharynx</a> includes the base of the <a title="Tongue" href="/articles/tongue">tongue</a>, the inferior surface of the <a title="soft palate" href="/articles/soft-palate">soft palate</a> and uvula, the anterior and posterior tonsillar pillars, the glossotonsillar sulci, the <a title="pharyngeal tonsils" href="/articles/pharyngeal-tonsils">pharyngeal tonsils</a>, and the lateral and posterior pharyngeal walls.</p><h4>Staging</h4><ul>
  • +<p><strong>T staging of oropharyngeal tumours </strong>is as follows:</p><h4>Definition</h4><p>The <a href="/articles/oropharynx">oropharynx</a> includes the base of the <a href="/articles/tongue">tongue</a>, the inferior surface of the <a href="/articles/soft-palate">soft palate</a> and <a title="Muscle of the uvula" href="/articles/muscle-of-the-uvula">uvula</a>, the anterior and posterior tonsillar pillars, the glossotonsillar sulci, the <a href="/articles/pharyngeal-tonsils">pharyngeal tonsils</a>, and the lateral and posterior pharyngeal walls.</p><h4>Staging</h4><ul>
  • -<strong>T4a:</strong> tumour invades the <a title="Larynx" href="/articles/larynx">larynx</a>, deep/<a title="Extrinsic muscles of the tongue" href="/articles/extrinsic-muscles-of-the-tongue">extrinsic muscles of the tongue</a>,<br><a title="Medial pterygoid muscle" href="/articles/medial-pterygoid-muscle">medial pterygoid</a>, <a title="hard palate" href="/articles/hard-palate">hard palate</a>, or <a title="Mandible" href="/articles/mandible">mandible</a>
  • +<strong>T4a:</strong> tumour invades the <a href="/articles/larynx">larynx</a>, deep/<a href="/articles/extrinsic-muscles-of-the-tongue">extrinsic muscles of the tongue</a>,<br><a href="/articles/medial-pterygoid-muscle">medial pterygoid</a>, <a href="/articles/hard-palate">hard palate</a>, or <a href="/articles/mandible">mandible</a>
  • -<strong>T4b:</strong> tumour invades the <a title="Lateral pterygoid muscle" href="/articles/lateral-pterygoid-muscle">lateral pterygoid muscle</a>, pterygoid plates, lateral <a title="Nasopharynx" href="/articles/nasopharynx">nasopharynx</a>, or <a href="/articles/base-of-the-skull">skull base</a> or encases the carotid artery</li>
  • +<strong>T4b:</strong> tumour invades the <a href="/articles/lateral-pterygoid-muscle">lateral pterygoid muscle</a>, pterygoid plates, lateral <a href="/articles/nasopharynx">nasopharynx</a>, or <a href="/articles/base-of-the-skull">skull base</a> or encases the carotid artery</li>

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