Oral Cancer Staging Form

Tumor Size

Not assessable (Tx)

Or, check Non-measurable.

No evidence of primary tumor (T0)

Or, check Non-measurable.

Size

cm

Tumor Location

Laterality

right

left

Upper lip

Lower lip

Upper gingivobuccal mucosa

Lower gingivobuccal mucosa

Hard palate

Oral tongue

Mouth floor

Retromolar trigone

Others

Tumor Invasion

T4a (for lip)

T4a (for oral cavity)

T4b

Regional Lymph Node

Locations

Right neck level

I

II

III

IV

V

VI

VII

facial

parapharyngeal

retropharyngeal

parotid

suboccipital

retroauricular

Left neck level

I

II

III

IV

V

VI

VII

facial

parapharyngeal

retropharyngeal

parotid

suboccipital

retroauricular

Distant Metastasis

Lung

Bone

Others

Scanning Protocol