Common Methods
from Manual of Clinical Oncology
Early lesions are commonly T1 and T2 with negative nodes; advanced lesions are T3 and T4, or any tumor with positive regional lymph nodes.
Key:
R = radiation therapy
S = Surgery
C = Chemotherapy
/ = a choice of treatments (preferred modality is first)
( ) = a lesser therapeutic alternative
Lip
| Primary |
Early |
Advanced |
| Lip |
R/S |
S/R |
Oral Cavity
| Primary |
Early |
Advanced |
| Oral tongue |
S/R |
S+R |
| Floor of mouth |
S/R |
S+R |
| Gingiva |
S |
S+R |
| Hard Palate |
S |
S+R |
| Buccal mucosa |
S/R |
S+R |
| Retromolar trigone |
S |
S+R |
Oropharynx
| Primary |
Early |
Advanced |
| Soft palate |
R |
R/chmo+S |
| Tonsillar fossa |
S/R |
S+R |
| Anterior tonsillar pillar |
S/R |
S+R |
| Pharyngeal tongue |
S/R |
R/chmo+S |
| Pharyngeal wall |
R |
S+R |
Hypopharynx
| Primary |
Early |
Advanced |
| Pyriform sinus |
S/R/C |
R or S/R/C |
| Posterior pharynx |
R/C |
R/S/C |
Larynx
| Primary |
Early |
Advanced |
| Glottic (vocal cord) |
R/(S) |
S+R/C |
| Supraglottic |
R/(S) |
S+R/C |
| Subglottic |
S/R |
S+R/C |
Nasopharynx
| Primary |
Early |
Advanced |
| Nasopharynx |
R/C |
R/C |
Paranasal sinuses
| Primary |
Early |
Advanced |
| Nasal cavity |
S/R/C |
S+R |
| Nasal vestibule |
R/(S)/C |
R |
| Ethmoid sinus |
S+R/C |
S+R |
Frontal and sphenoid
sinuses |
R/S/C |
R |
| Maxillary antrum |
S/R/C |
S+R±C |
Salivary glands
| Primary |
Early |
Advanced |
| Parotid gland |
S±R |
S±R |
| Submandibular gland |
S, S+R |
S+R |
Thyroid gland
| Primary |
Early |
Advanced |
| Thyroid gland |
S |
S+R (ablation) |
