Case contributed by Dr Smita Deb & A/Prof Pramit Phal

This is a right oro-hypo-pharyngeal SCC with supra-glottic involvement.

Hypopharyngeal sub-sites: pyriform sinuses, lateral and posterior hypopharyngeal walls, postcricoid region.

Staging:

• T2: invasion of >1 hypopharyngeal sub-site/adjacent site + tumor <4cm and NO fixation of the hemilarynx or invasion of thyroid/cricoid cartilage.
• N2: metastasis in bilateral lymph nodes <6cm.