This subject has been recently discussed and Darrell has posted some inaccurate or incomplete information about staging. This link has very good info:

http://www.oralcancerfoundation.org/facts/stages_cancer.htm

The M is "distant" metastasis. Lymph node involvement is not "distant" but is still metastatic. Ipsilateral means on the same side.


Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.