Tumour spread and staging

Parotid gland tumours spread to adjacent pre-auricular lymph nodes, then to the submandibular region. Submandi-bular gland neoplasms spread to sub-mandibular and the upper jugular lymphatic chain. Palatal lesions may extend

Table 5.1 Histopathologic features, point values and point scores used in grading mucoepidermoid carcinoma

Histopathologic feature

Point value

Cystic component < 20%

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