cervical = neck. If it goes for the tongue to some place else it is a metastasis, to the cervical nodes/neck would be considered a local met, to the lungs, a distant met. Oral cancer does not usually kill you in your mouth, it kills through metastasis to a vital organ elsewhere.

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.