I have a quick question regarding classifying the M component of the TNM staging. If I have a lymph node that was metastases on the same side of my neck as the source (which is on left over tonsil tissue), would the classification be?

M0: Presence of distant metastasis cannot be assessed.
M1: No evidence of distant metastasis.
M2: Distant metastasis present

Thanks - Steve


50 yr old, male
SCC of Lymph node right side of neck - 6/30/11
Biopsy: 8/23/2011
MND Right side- 9/19/2011 - 18 nodes - 17 clear
T1N1M0 source on right tonsil tissue
HPV+
IMRT 33 sessions started 10/18/11. Finished 12/5/11
No Chemo