AJCC Cancer Staging Manual by (auth.), Frederick L. Greene M.D., David L. Page M.D., Irvin

By (auth.), Frederick L. Greene M.D., David L. Page M.D., Irvin D. Fleming M.D., April G. Fritz C.T.R., R.H.I.T., Charles M. Balch M.D., Daniel G. Haller M.D., Monica Morrow M.D. (eds.)

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3 104 96 205 669 FIG. 38. Five-year, relative survival by "combined" AJCC stage for squamous cell carcinoma of the nasopharynx, 1985-1991. ) 38 American Joint Committee on Cancer' 2002 100 90 10 Stage __ 1 70 •> 60 ........ 2 ~ 60 -'-3 ~ •!! • ---. 2 FIG. 4A. Five-year, observed survival by "combined" AJCC stage for squamous cell carcinoma of the oropharynx, 1985-1991. 5 FIG. 48. Five-year, relative survival by "combined" AJCC stage for squamous ceU carcinoma ofthe oropharynx, 1985-1991. -1 70 CI ~ 50 ..

In addition to the components to describe the N category, regional Ivmph no des should also be described according to the level of the neck that is involved. It is recognized that the level of involved nodes in the neck is prognostically significant (lower is worse), as is the presence of extracapsular extension of metastatic tumor from individual nodes. Imaging studies showing amorphous spiculated margins of involved nodes or involvement of intern odal fat resulting in loss of normal oval-to-round nodal shape strongly suggest extracapsular (extranodal) tumor spread; however, pathologic examination is necessary for documentation of the extent of such disease.

E • 11. ---. 5 1543 248 69 65 FIG. 2A. Five-year, observed survival by "combined" AJCC stage for squamous cell carcinoma of the lip, 1985-1991. 6 1552 252 69 66 FIG. 28. Five-year, relative survival by "combined" AJCC stage for squamous cell carcinoma of the lip, 1985-1991. ) American Joint Committee on Cancer· 2002 27 100 90 80 Stage -+-1 70 GI .. 5 2433 FIG. 3A. Five-year, observed survival by "combined" AJCC stage for squamous cell carcinoma of the oral cavity, 1985-1991. ---. 5 2459 FIG.

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