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squamous cell hypopharyngeal carcinoma&#46; Why is this a T4a tumour&#63;</p><p id="par0100" class="elsevierStylePara elsevierViewall">&#40;Only one option is correct&#41;<ul class="elsevierStyleList" id="lis0015"><li class="elsevierStyleListItem" id="lsti0030"><span class="elsevierStyleLabel">&#8226;</span><p id="par0105" class="elsevierStylePara elsevierViewall">Thyroid cartilage invasi&#243;n</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">&#8226;</span><p id="par0110" class="elsevierStylePara elsevierViewall">Cricoid invasi&#243;n</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">&#8226;</span><p id="par0115" class="elsevierStylePara elsevierViewall">Hyoid invasi&#243;n</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">&#8226;</span><p id="par0120" class="elsevierStylePara elsevierViewall">Thyroid gland invasi&#243;n</p></li></ul></p><p id="par0125" class="elsevierStylePara elsevierViewall"><span class="elsevierStyleUnderline">Question 5</span>&#58;</p><p id="par0130" class="elsevierStylePara elsevierViewall">A round lymph node with central necrosis is present at the level of the hyoid bone&#46; This was presumed to be a lymph node metastasis from the hypopharyngeal carcinoma&#46; Choose the correct N-stage for this patient from the following options&#58;</p><p id="par0135" class="elsevierStylePara elsevierViewall">&#40;Only one option is correct&#41;<ul class="elsevierStyleList" id="lis0020"><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">&#8226;</span><p id="par0140" class="elsevierStylePara elsevierViewall">N0&#44; no regional lymph node met&#225;stasis</p></li><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">&#8226;</span><p id="par0145" class="elsevierStylePara elsevierViewall">N1&#44; metastasis in a single ipsilateral lymph node</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">&#8226;</span><p id="par0150" class="elsevierStylePara elsevierViewall">N2c&#44; metastasis in bilateral or contralateral lymph nodes</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">&#8226;</span><p id="par0155" class="elsevierStylePara elsevierViewall">N3a&#44; metastasis in a lymph node more than 6&#160;cm in greatest dimension&#46;</p></li></ul></p></span>"
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