The tumor (1) is larger than 4 centimeters, or cancer has spread to the bone and the bone has little damage, or has spread to tissue covering the nerves below the dermis, or has spread below the subcutaneous tissue. Cancer may have also spread to one lymph node on the same side of the body as the tumor and the node is 3 centimeters or smaller; or (2) is 4 centimeters or smaller. Cancer has spread to one lymph node on the same side of the body as the tumor and the node is 3 centimeters or smaller.