Squamous cell carcinoma of the lip commissure A 10-year retrospective study
(1995-2004)
Aris NTOMOUCHTSIS, Nikolaos KECHAGIAS, Kiriaki KITIKIDOU, Eleni BOURLIDOU, Konstantinos KONTOS, Chrisoula TSOMPANIDOU, Chrisoula ILIOPOULOU, Eleni PAPADOPOULOU, Konstantinos VAHTSEVANOS, Konstantinos ANTONIADES
Department of Oral and Maxillofacial Surgery, “Theagenio” Hospital for Cancer Treatment, Thessaloniki (Coordinator: Magoudi Doxa, OMFS, NHS Consultant)
Hellenic Archives of Oral & Maxillofacial Surgery (2011) 1, 15-25
SUMMARY: The lips which constitute special anatomic structures, exposed in various irritant and traumatic factors, have increased danger to develop pathological lesions. A retrospective study of patients with squamous cell carcinomas of the lip commissure treated in the department of OMFS of the Cancer Hospital during the period 1995-2004 is presented. Thirteen such cases were studied and statistically analyzed, 12 men and 1 woman. 8 farmers, a profession with intense exposure to the solar radiation. 10 pa - tients presented with neck metastases, 3 at the time of initial examination, and 7 at a later point. 9 from the 10 patients were submitted to neck dissection, while 1 was not treated surgically due to lung metastases. The follow-up of the patients had an average of 49.23 months. Today six patients (46.17%) are disease free, three (23.07%) died from the disease and four (30.76%) from other reasons. Patients with lip carcinomas of the commissure usually are found to be at advanced stages, which lead to wide excisions and complex reconstruction. In these patients a selective neck dissection should be performed for a N0 neck and a modified radical neck dissection for a N+ neck.
KEY WORDS: Squamous cell carcinoma, lip, commissure
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