Need help staging scc question,
I have scc, gum cancer that penetrated the mandible, my doctor says I'm T4N0M0, does that mean I'm stage IV cancer? I already had mandible replaced in June 2011 with free fibula flap and neck dissection. I had 75 lymp nodes on one side of neck all negative. Dr Lewis at MD Anderson said that was the most lymp nodes she had ever seen on one side. Lol


Debra 57 y/o female,
5-2-11 dig. Scc well diff invasive gum cancer
5-17-11 consult MD Anderson
6-15-11 mandibulectomy, w/fibula free flap, rem all teeth, neck diss removal 75 nodes one side, IRMTx30, 1.2cm submucosal tumor invading tooth socket. cT4N0M0 (IVb)
1-24-12 clear CT scans to date