Stage Information
Salivary Gland Cancer (PDQ®): Treatment

Patient Version
From National Cancer Institute: cancer.gov website:
http://www.cancer.gov/cancer_information/doc_pdq.aspx?version=0&
summaryid=208_01455
Date Last Modified: 06/2002

Stage Information

Stages of cancer of the salivary gland
Once cancer of the salivary gland is found, more tests will be done to find out if cancer cells have spread to other parts of the body. This is called staging. A doctor needs to know the stage of the disease to plan treatment. Salivary gland cancers are also classified by "grade", which tells how fast the cancer cells grow, based on how the cells look under a microscope. Low-grade cancers grow more slowly than high-grade cancers.

The following stages are used for cancer of the salivary gland:

Stage I
The cancer is no more than 4 centimeters in diameter (about 1 1/2 inches) and has not spread into the tissue around it or to the lymph nodes in the area (lymph nodes are small bean-shaped structures that are found throughout the body; they produce and store infection-fighting cells).

Stage II
Either of the following may be true:

The cancer is no more than 4 centimeters in diameter and has spread into the skin, soft tissue, bone, or nerve around the gland. The cancer has not spread to lymph nodes in the area.

The cancer is between 4 and 6 centimeters in diameter (a little over 2 inches) and has not spread into the tissue around it or to lymph nodes in the area.

Stage III
The cancer is no more than 4 centimeters in diameter and has not spread into the skin, soft tissue, bone, or nerve around the gland, but has spread to a single lymph node in the same area.

Stage IV
Any of the following may be true:

The cancer is more than 6 centimeters in diameter and has spread into the skin, soft tissue, bone, or nerve around the gland. The cancer may or may not have spread to the lymph nodes.

The cancer is any size and has spread to more than one lymph node on the same side of the neck as the cancer, to lymph nodes on one or both sides of the neck, or to any lymph node and measures more than 6 centimeters in diameter.

The cancer has spread to other parts of the body.

Recurrent
Recurrent disease means that the cancer has come back (recurred) after it has been treated. It may come back in the salivary gland or in another part of the body.


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