<prompt> A patient with carcinoma of tongue is found to have lymph nodes in the lower neck. The treatment of choice for the lymph nodes is:Lower cervical neck dissectionSuprahyoid neck dissectionTele radiotherapyRadical neck dissection  <response>: Traditionally, the gold standard for control of cervical metastasis has been the radical neck dissection RND. The classic RND removes levels I to V of the cervical lymphatics in addition to the SCM, internal jugular vein, and the spinal accessory nerve CN XI. Any modification of the RND that preserves nonlymphatic structures i.e., CN XI, SCM muscle, or internal jugular vein is defined as a modified radical neck dissection MRND. A neck dissection that preserves lymphatic compaments normally removed as pa of a classic RND is termed a selective neck dissection SND. Ref: Weber R.S. 2010. Chapter 18. Disorders of the Head and Neck. In T.R. Billiar, D.L. Dunn Eds, Schwazs Principles of Surgery, 9e. 