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T4a. Any N. M0. The cancer is any size and has grown beyond the thyroid gland into nearby tissues of the neck, such as the larynx (voice box), trachea (windpipe), esophagus (tube connecting the throat to the stomach), or the nerve to the larynx (T4a). It might or might not have spread to nearby lymph nodes (Any N). It has not spread to distant ...
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