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
Primary | Early | Advanced |
---|---|---|
Lip | R/S | S/R |
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 |
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 |
Primary | Early | Advanced |
---|---|---|
Pyriform sinus | S/R/C | R or S/R/C |
Posterior pharynx | R/C | R/S/C |
Primary | Early | Advanced |
---|---|---|
Glottic (vocal cord) | R/(S) | S+R/C |
Supraglottic | R/(S) | S+R/C |
Subglottic | S/R | S+R/C |
Primary | Early | Advanced |
---|---|---|
Nasopharynx | R/C | R/C |
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 |
Primary | Early | Advanced |
---|---|---|
Parotid gland | S±R | S±R |
Submandibular gland | S, S+R | S+R |
Primary | Early | Advanced |
---|---|---|
Thyroid gland | S | S+R (ablation) |