Surgery – MCQ 29 – A patient has carcinoma of right tongue on its lateral border

A patient has carcinoma of right tongue on its lateral border of anterior 2/3rd, with lymph node of size 4 cm in level 3 on the side of the neck, stage of disease is
a) N0
b) N1
c) N2
d) N3

Correct answer : c) N2

AJCC staging for oral cavity tumours:

• N0 – No clinically palpable lymph nodes
• N1 – Single ipsilateral node less than 3cm
• N2a – Single ipsilateral lymph node 3-6cm
• N2b – Multiple ipsilateral lymph nodes less than 6cm
• N2c – Bilateral / Contralateral lymph nodes less than 6cm
• N3 – Nodes more than 6cm