| | Joined: Oct 2011 Posts: 27 Contributing Member (25+ posts) | OP  Contributing Member (25+ posts)
Joined: Oct 2011 Posts: 27 | 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
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 7 | Here is detailed info found on the main OCF pages about stages. Stages
Last edited by ChristineB; 10-10-2011 02:55 PM. Reason: add link
ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive  | | | | | Joined: Oct 2011 Posts: 27 Contributing Member (25+ posts) | | OP Contributing Member (25+ posts)
Joined: Oct 2011 Posts: 27 | Thanks for the reply. I hate to sound like a moron, however when they say "distant" does that mean:
A) a lymph node that is close to the cancer (i.e. - in my neck)
B) a lymph node on another part of my body?
C) any lymph node?
Thanks in advance.
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
| | | | | Joined: Apr 2011 Posts: 267 Gold Member (200+ posts) | | Gold Member (200+ posts)
Joined: Apr 2011 Posts: 267 | I think when they say 'distant' they mean it has metastasized to the lungs, bones, or other places besides the oral cavity and neck. If it spreads to lymph nodes in the neck, that falls under the N part of TNM staging.
Tracy - 33 at diagnosis
SCC right ventral tongue Dx 4/11.
T1N2M0
1st resection 5/11.
Bilateral neck dissection: 2 pos nodes
2nd resection w/graft 6/11.
Erbitux x 11 completed 9/11. IMRT x 30 completed 8/11.
3 month MRI and PET/CT all clear.
6, 9, 12 and 24 month post treatment MRIs all clear.
| | | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts)
Joined: Jun 2007 Posts: 10,507 Likes: 7 | Steve, please feel free to ask questions. We are here to help. If you dont know something please ask and we will try to help. There is so much info on the main OCF pages. Many times members forget about checking the main pages. If you want to take a look, just click on the "Oral Cancer Foundation" up towards the top left of the screen.
Last edited by ChristineB; 10-10-2011 09:17 PM.
ChristineSCC 6/15/07 L chk & by L molar both Stag I, age44 2x cispltn-35 IMRT end 9/27/07 -65 lbs in 2 mo, no caregvr Clear PET 1/08 4/4/08 recur L chk Stag I surg 4/16/08 clr marg 215 HBO dives 3/09 teeth out, trismus 7/2/09 recur, Stg IV 8/24/09 trach, ND, mandiblctmy 3wks medicly inducd coma 2 mo xtended hospital stay, ICU & burn unit PICC line IV antibx 8 mo 10/4/10, 2/14/11 reconst surg OC 3x in 3 years very happy to be alive | | | | | Joined: Mar 2002 Posts: 4,918 Likes: 66 OCF Founder Patient Advocate (old timer, 2000 posts) | | OCF Founder Patient Advocate (old timer, 2000 posts)
Joined: Mar 2002 Posts: 4,918 Likes: 66 | M means distant of the local regional area in head and neck cancers. ie. somewhere other than the head and neck. Most likely locations are the lungs and brain, but in mets of cancer anything is possible.
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.
| | | | | Joined: Oct 2011 Posts: 27 Contributing Member (25+ posts) | | OP Contributing Member (25+ posts)
Joined: Oct 2011 Posts: 27 | Thanks for the information I really appreciate the insight.
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
| | | | | Joined: Nov 2002 Posts: 3,552 Patient Advocate (old timer, 2000 posts) | | Patient Advocate (old timer, 2000 posts)
Joined: Nov 2002 Posts: 3,552 | 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
***********************************
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)
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