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  • Title: Cervical lymph node metastases: the significance of the level of the lymph node.
    Author: Stell PM, Morton RP, Singh SD.
    Journal: Clin Oncol; 1983 Jun; 9(2):101-7. PubMed ID: 6883836.
    Abstract:
    Two thousand and fifty-eight patients with squamous carcinoma of the head and neck are described. Thirty-five per cent of these patients had a node in the neck at the time of presentation. The level of the node was dictated by the primary tumour: other factors such as T or N status were not significant predictors of node level. Node level was a highly significant predictor of survival, together with age, general condition, node status and site the primary tumour. The 5-year survival for nodes at Level I (submandibular) nodes was 34%, and only 4% for nodes at Level IV.
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