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Lymph Node Levels

This document outlines the different levels of lymph nodes in the neck and which primary tumors commonly spread to each level. It states that oral cavity and lip cancers spread to levels I-III, oral tongue cancers spread to levels III-IV, and oropharynx, hypopharynx and larynx cancers commonly spread to levels II-IV. It also notes that nasopharynx, soft palate and oropharynx/hypopharynx tumors can involve retropharyngeal nodes, and hypopharynx, cervical esophagus and thyroid tumors may spread to paratracheal nodes and upper mediastinum in level VII.

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120 views8 pages

Lymph Node Levels

This document outlines the different levels of lymph nodes in the neck and which primary tumors commonly spread to each level. It states that oral cavity and lip cancers spread to levels I-III, oral tongue cancers spread to levels III-IV, and oropharynx, hypopharynx and larynx cancers commonly spread to levels II-IV. It also notes that nasopharynx, soft palate and oropharynx/hypopharynx tumors can involve retropharyngeal nodes, and hypopharynx, cervical esophagus and thyroid tumors may spread to paratracheal nodes and upper mediastinum in level VII.

Uploaded by

Fhai Escio
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd

LYMPH NODE LEVELS

Submental nodes

Submandibular
nodes

Jugulodigastric nodes
Submuscular recess

Middle jugular chain nodes

Anterior compartment
nodes Posterior triangle nodes

Paratracheal nodes
Lower jugular chain nodes
• Primary tumors within the oral cavity and lip metastasize to the nodes in
levels I, II, and III.
• Oral tongue cancers- level III and IV
• oropharynx, hypopharynx, and larynx most commonly spread to the lymph
nodes of the lateral neck in levels II, III, and IV
• Malignancies of the nasopharynx and thyroid commonly spread to level V
nodes in addition to the jugular chain nodes.
• tumors of the nasopharynx, soft palate, and lateral and posterior walls of
the oropharynx and hypopharynx - Retropharyngeal lymph nodes
• Tumors of the hypopharynx, cervical esophagus, and thyroid frequently
involve the paratracheal nodal compartment, and may extend to the
lymphatics in the upper mediastinum (level VII).
• Delphian node, a pretracheal lymph node, may become involved by
advanced tumors of the glottis with subglottic spread.

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