Metastasis of carcinoma buccal mucosa goes to

The spread of carcinoma of buccal mucosa Buccal carcinoma spread locally and to regional lymph nodes. 1) Local spread: - From its site of origin, the lesion may spread deeply involving submucosa → muscle → Subcutaneous fat → skin. Involvement of buccinator muscle or anterior masseter causes trismus. 2) Lymphatic spread: - Nodal involvement occurs in about 50% of cases. Submandibular and later the upper jugular nodes may get involved. Upper jugular nodes may also be involved, directly skipping the submandibular group.