How many years a patient can live with 26 lymph nodes and neck metastasis of nail cancer is mainly related to individual factors and treatment, which should be analyzed on a case-by-case basis and should not be generalized. Generally speaking, the occurrence of 26 lymph node neck metastases is often one of the manifestations of advanced malignant tumor in clinical practice. If the metastases are only limited to the neck and not metastasized to other parts such as mediastinum, lung, liver, etc., and the lymph nodes in the neck are completely removed through surgical treatment or iodine-131 treatment, the patient will have better treatment effect and longer survival period or even long-term survival, no different from normal people. However, if a patient with nail cancer has developed 26 lymph nodes neck metastasis in addition to the lesion has metastasized distantly, it is less meaningful to carry out surgical treatment and the specific survival time of the patient varies from person to person. Therefore, it is recommended that patients should maintain an optimistic and positive attitude and go to the medical oncology department of regular hospitals for examination in time, so that professional doctors can formulate practical treatment plans according to individual patients’ conditions.