![](https://webarchive.library.unt.edu/eot2008/20090514071600im_/http://www.cancer.gov/images/spacer.gif) |
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| The tumor has spread to nearby tissues and lymph nodes of the neck and may have spread to other parts of the body. |
Previous Definitions: | stage IV endometrial cancer, stage IV esophageal cancer, stage IV extrahepatic bile duct cancer, stage IV gallbladder cancer, stage IV gastric cancer | Next Definitions: | stage IV kidney cancer, stage IV laryngeal cancer, stage IV lip and oral cavity cancer, stage IV malignant mesothelioma, stage IV melanoma |
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![](https://webarchive.library.unt.edu/eot2008/20090514071600im_/http://www.cancer.gov/images/spacer.gif) |