Introduction | Anatomy | Abstracting, Coding, & Staging | Treatment | Hands-on Exercise |
Extent of Disease
ICD-O Codes | Morphology & Grade | Extent of Disease Evaluation | Staging | Abstracting Keys | Unit Review |

Common Metastatic Sites

Primary Sites	Metastatic Sites
Oral Cavity, pharynx, larynx	Lungs, liver, mediastinal lymph nodes
Maxillary Sinus	Lungs, distant lymph nodes
Salivary Glands	Lungs
Thyroid Gland	Lungs

Extent of Disease Evaluation

Definitions

Key words/possible involvement: Terms which indicate possible involvement by tumor. Common terms are provided, but the list is not all-inclusive.

Other words/no involvement: other terms seen in reports which indicate an abnormality but do not indicate a neoplastic process. Common terms are provided, but the list is not all-inclusive.

Key information: information to look for in the report of the study. Key information helps define the extent of disease.

Recommended Diagnostic Procedures for Head and Neck Cancers

Site	Physical Exam	Biopsy	Indirect Exam	Endoscopy	CXR	CT	MRI
Oral Cavity	X	X	X	X	X	X
Salivary glands	X	X			X	X
Paranasal sinuses and nasal cavity	X	X	X	X	X	X	X
Nasopharynx	X	X	X	X	X	X	X
Oropharynx	X	X	X	X	X	X	X
Hypopharynx	X	X	X	X	X	X
Larynx	X	X		X	X	X
Thyroid	X	FN	X			X
* FN = fine needle aspiration Note: Other diagnostic evaluations for thyroid malignancies include thyroid function test, sonogram, serum thyrocalcitonin (medullary carcinoma)

Diagnostic Studies

• Physical Exam
• Visual Examination
• Imaging
• Tumor Markers
• Endoscopies
• Pathology
• Loboratory Tests
• Operative Report