<prompt> Lymph mode metastasis in neck is almost never seen with:Carcinoma vocal cordsSupraglottic carcinomaCarcinoma of tonsilPapillary carcinoma thyroids  <response>: Ans. A Carcinoma of vocal cords. Ref. Dhingra Sthed p 327, 6thed p 309 There are very few lymphatics in vocal cords and nodal metastasis are practically never seen in cordallesions unless ithas spread beyond the region of membranous cord. 