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epidemiology and etiology
- South Asia, middle east, north Africa
- Males, 50-59 y/o
- Alcohol & smoking
- EBV, preserved food diet
histopathology
keratinizing SCC
spread
Lymph spread & direct extension
80-90% positive cervical nodes, 50% bilat nodal disease
lymph drainage
Retroparotid/retropharyngeal anterior to C1 & C2
- Deep cervical
- Jugulodiagastric
signs and symptoms
- Hearing loss, ear infections
- Nasal blockages, epitaxis, headache, trouble breathing/talking
radiation treatment tech
IMRT
70 Gy positive nodes
5040 negative nodes
anatomy
cuboidal structure