Cancer (1) is found in the nasopharynx and has spread to lymph nodes on both sides of the neck; or (2) has spread into the soft tissues (oropharynx and/or nasal cavity) and to lymph nodes on both sides of the neck; or (3) has spread beyond the soft tissues into areas around the pharynx and to lymph nodes on both sides of the neck; or (4) has spread to nearby bones or sinuses and may have spread to lymph nodes on one or both sides of the neck.