Our management of the surgical treatment in lower lip cancer

Abstract

Objectives:The aim of this study was to analyze the algorithms of the treatment and the oncological results in patients with lower lip carcinoma.Methods:30 patients with lower lip carcinoma treated at our department during March 1998-March 2007 were included to the study retrospectively. Age, sex, risk factors, localization of the tumor, regional lymph nodes, surgical procedures, histopathology results, local and regional recurrences, survey were evaluated. The median age was 63.2±12.0. Twenty eight of patients were men. All tumors were squamous cell carcinoma. The tumors were localized on the right side in 9 (30%), on the left side in 14 (46.7%) and the middle in 7 (23.3%) patient. According to the TNM classification tumors were as follows, 9 (30%) patients with T1, 15 (50%) with T2, 4 (13.3%) with T3 and 2 (6.7%) with T4 tumors were followed up.Results:In the initial physical examination, 8 patients had palpable lymphadenopathy (%26.7) and 22 patients had no palpable lymphadenopathy in the neck. All the patients with palpable lymphadenopathy underwent modified radical neck dissection. In the evaluation of dissection materials, positive regional lymph node was obtained in 6 patients. 16 of N0 patients had selective neck dissection and 6 of them had modified radical neck dissection. After the tumor resection, primer reconstruction in 15 (50%), Bernard plasty in 7 (23.3%), reconstruction with Karapandzic flap in 4 (13.3%), reconstruction with Abbe-Estlander flap in 2 (%6.7), reconstruction with deltopectoralis myocutaneous flap in 2 (6.7%) patients were performed. Median follow-up period was 35.6±19.4 months. The 3-year overall survivals were 92.7% for all stages.Conclusion:We come across similar outcome with literature in lower lip carcinoma patients treated with lip lesion and also surgical treatment of neck.

Keywords

• lip
• cancer
• surgery
• survey.