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Joined: Mar 2006
Posts: 99
Senior Member (75+ posts)
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Senior Member (75+ posts)

Joined: Mar 2006
Posts: 99
Do the lymph nodes have to be affected in order for a metastis to occur or can you have mets without node involvement?


Kerry/wife of stephenm
StageIV - Base of Tongue T4N0M0
XRT x42 / Taxol and Carboplatin x4
Tx. Finished 5/08/06
Joined: Mar 2002
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Patient Advocate (old timer, 2000 posts)

Joined: Mar 2002
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Likes: 52
There are different kinds of mets. Some are local, into surrounding tissues, some are regional, such as to the cervical nodes, and others are distant. Depending on the location of the primary, and the earliness of discovery, this can change radically. Primary lesions located in the posterior of the mouth tend to move more quickly into the cervical nodes, but anterior lesions can also do so just not as quickly. While cervical mets are the most common pathway of spread, invasive cancers can move deeply into surrounding tissues and involve the circulatory system, which can also allow for distant spread of the disease. Cervical node involvement is the predominant pathway of spread, but with caner, there are few absolutes.


Brian, stage 4 oral cancer survivor. OCF Founder and Director. The first responsibility of a leader is to define reality. The last is to say thank you. In between, the leader is a servant.

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