Approach to Neck Metastases in Oropharyngeal Cancers

Cervical lymph node metastasis is one of the most important prognostic parameter in oropharyngeal carsinomas. Most oropharyngeal tumors have occult metastases rates exceeding 20%, and elective treatment of the neck is generally recommended. Treatment options may be surgery or radiotherapy. Options for treatment of advanced oropharyngeal carsinomas include chemoradiotherapy or transoral surgery with neck disection and adjuvant oncological treatment. In this article, we aimed to review the rates of neck metastasis and the approach of these metastases to oropharyngeal carcinomas