Surgical management of lip carcinoma

Purpose The treatment of lip carcinomas needs tumor surgical resection with safety margins respect. The aim of this study was to report the oncologic and aesthetic/functional outcomes of a retrospective monocentric case series of 39 patients treated for cutaneous lip cancer. Methods This retrospective study assessed 56 patients who were treated for a lip carcinoma between 2008 and 2012 and included 39 patients with cutaneous lip basal cell carcinoma or squamous cell carcinoma. Clinical, surgical and pathological data were reviewed, and patients were interviewed for follow-up data. A comparison was made between the marked surgical margins and the margins observed under microscopy after histologic process. Results The most frequent tumor type was basal cell carcinoma in 69.2 %. The measured surgical margins were superior to the histological margins in 24 cases (61.5 %) and were inferior in 13 cases (33.3 %). Overall survival and recurrence-free survival rates at 1 year were 97.5 and 95 % respectively. Conclusion Differences between the surgical margins and the final histologic margins were the main finding of this retrospective study. These differences were attributed to surgical practices and modification during the histological process. Nevertheless, we did not observe a higher rate of recurrence or death in our study than in literature.

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“…Radiotherapy is also indicated [9,10]. This method allows a high cure rate by controlling the histological margins.…”

Section: Discussionmentioning

confidence: 99%

“…Although cutaneous SCC and BCC of the lips are two different pathological entities with different risk factors and course, we deliberately chose to study these patients in the same group because in the absence of lymph node involvement, the process of initial surgical treatment is very similar [9,10].…”

Section: Discussionmentioning

confidence: 99%

Retrospective Outcome Analysis of 39 Patients Who Underwent Lip Surgery for Cutaneous Carcinoma

Guyon

Bosc

Lange

et al. 2016

J. Maxillofac. Oral Surg.

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“…Surgical treatment of lip cancer is based on obtaining a negative surgical border and a positive surgical border will worsen prognosis [32]. Resection with a healthy tissue margin of 5-10mm is the generally accepted form of treatment in lip cancers [33,34]. It has also been reported that high simple wedge excisions made directly from the tumour borders leads to local recurrence [35,36].…”

Section: Discussionmentioning

confidence: 99%

Is neck dissection necessary in early stage lower lip carcinomas necessary?

Kahveci¹,

C²,

Demir³

et al. 2016

Med-Science

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Lower lip tumours are the most common of all oral cavity tumours. The purpose of this article was to analyse neck metastasis rates of early stage lower lip carcinomas and to evaluate possible correlations of histological parameters with neck metastasis. A retrospective review was made of 37 patients in respect of the dissection type, preoperative detection of lymphadenopathy by palpation or computed tomography (CT), tumour size and degree of histological differentiation. An experienced pathologist also re-evaluated the specimens and examined tumour depth and muscle invasion. Types of neck dissection were bilateral supraomohyoid in 20, unilateral supraomohyoid in 8, bilateral suprahyoid in 5 and unilateral suprahyoid in 1 patient. All the carcinomas were squamous cell carcinoma (SCC) and T stages were T1 in 32 and T2 in 5. Preoperatively, 4 patients had palpable lymph nodes and 9 patients had lymph nodes on CT scan, but none of these patients had histologically positive lymph node metastasis. Histological node metastasis was found in only 1 patient who had stage T1 tumour, no palpable or detected lymph node, no muscular invasion and very limited tumour depth. Tumour size, differentiation degree, tumour depth and muscle invasion do not seem to be sensitive indicators for the prediction of lymph node metastasis in early stage lower lip carcinomas. The necessity of neck dissection in early stage lower lip carcinomas should be reconsidered in a large series of patients.

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“…Various reconstructive techniques are available. 1,[14][15][16][17][18] Postoperative evaluation of the aesthetic result of lip reconstruction by reporting a pleasing functional and aesthetic result is common. 10,16,18,19 Postoperative evaluation by an independent observer or the surgeon is also common.…”

Section: Discussionmentioning

confidence: 99%