TREATMENT SPECIFICITY IN OROPHARYNGEAL CANCER PATIENTS WITH REGIONAL METASTASIS
Choice of treatment policy in cases with oropharyngeal cancer depends on the presence of regional metastasis that is the most important factor of poor prognosis. This study analyzes treatment outcomes in 44 oropharyngeal cancer patients with N2—N3 cervical lymph node metastases. Cervical lymph node involvement was confirmedbycytologicalstudyof puncture biopsiesinall cases. Metastasesfrom oropharyngeal carcinomahas specific features depending on T parameter. Response of the primary and regional metastases to chemotherapy is assessed. Cervical lymph node dissection is indicated in cases achieving complete response of the oropharyngeal tumor and partial response of regional metastatic tumors. Close monitoring is indicated in cases with complete response of the oropharyngeal tumor and complete response of regional metastatic tumors.