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Background and Objectives:Squamous cell carcinoma of the oral cavity is a well known tumor with frequent nodal meta-stases, but reports on detailed prevalence of nodal metastases by primary subunits and neck level are lacking. Patients and Method: (who visited the hospital from 1992 to 201) with pri-mary squamous cell carcinoma of the oral tongue and floor of the mouth, were undertaken to ascertain the prevalence of ips-ilateral neck node metastases by neck level; of elective dissection in cN0 neck (n=43), and of therapeutic dissection in cN+ neck (n=20). Results:Overall incidence of neck metastases, cancer of the oral tongue, and cancer of the flor of the mouth were 44.4%, 50% (24/48) and 26.7% (4/15), retrospectively. False negative and false positive rates were 27.9% and 20%, respectively. Neck metastasis was predominantly revealed in levels I, II, and III. Metastases at level IV and V were exclusiv-ely acompanied with metastases to other levels. Conclusion:Squamous cell carcinomas of the oral tongue and floor of the mouth metastasized to the neck frequently and neck metastasis correlated to T-stage. Elective treatment is need to ipsilate-ral neck level I, II, and III. However, comprehensive neck dissection is needed for cN+ neck. ( ; 45:154-8)

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