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    Salivary Gland Cancer Treatment (PDQ®): Treatment - Patient Information [NCI] - Stages of Salivary Gland Cancer

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    The metastatic tumor is the same type of cancer as the primary tumor. For example, if salivary gland cancer spreads to the lung, the cancer cells in the lung are actually salivary gland cancer cells. The disease is metastatic salivary gland cancer, not lung cancer.

    The following stages are used for major salivary gland cancers:

    cdr0000415526.jpg
    Pea, peanut, walnut, and lime show tumor sizes.

    Stage I

    In stage I, the tumor is in the salivary gland only and is 2 centimeters or smaller.

    Stage II

    In stage II, the tumor is in the salivary gland only and is larger than 2 centimeters but not larger than 4 centimeters.

    Stage III

    In stage III, one of the following is true:

    • The tumor is not larger than 4 centimeters and has spread to a single lymph node on the same side as the tumor and the lymph node is 3 centimeters or smaller.
    • The tumor is larger than 4 centimeters and/or has spread to soft tissue around the affected gland. Cancer may have spread to a single lymph node on the same side as the tumor and the lymph node is 3 centimeters or smaller.

    Stage IV

    Stage IV is divided into stages IVA, IVB, and IVC as follows:

    • Stage IVA:
      • The tumor may be any size and may have spread to soft tissue around the affected gland. Cancer has spread to a single lymph node on the same side as the tumor and the lymph node is larger than 3 centimeters but not larger than 6 centimeters, or has spread to more than one lymph node on either or both sides of the body and the lymph nodes are not larger than 6 centimeters; or
      • Cancer has spread to the skin, jawbone, ear canal, and/or facial nerve, and may have spread to one or more lymph nodes on either or both sides of the body. The lymph nodes are not larger than 6 centimeters.
    • Stage IVB:
      • The tumor may be any size and may have spread to soft tissue around the affected gland. Cancer has spread to a lymph node larger than 6 centimeters; or
      • Cancer has spread to the base of the skull and/or the carotid artery, and may have spread to one or more lymph nodes of any size on either or both sides of the body.
    • Stage IVC:
      • The tumor may be any size and may have spread to soft tissue around the affected gland, to the skin, jawbone, ear canal, facial nerve, base of the skull, or carotid artery, or to one or more lymph nodes on either or both sides of the body. Cancer has spread to distant parts of the body.
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