Unless the NCCN has changed their protocols there are 3 type of metastasis:

1. Local - like lymph node involvement - direct connection to the primary
2. Locoregional - like the esophagus or structures in the not so immediate area are involved. Brain and lungs may fall into this category. The connection could be direct or indirect
3. Distant - when the cancer has spread by the blood to other organs, e.g., liver, kidneys, etc.


Gary Allsebrook
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Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
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"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)