Lip defects due to tumor excision: Apropos of 899 cases

Summary Reconstructive surgery of the lips after resection of tumors requires a complete understanding of the anatomy of this region. Most lip cancers remain localized and grow slowly, with a propensity for superficial rather than vertical spread. From January 1983 to December of 2005, 899 patients...

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Bibliographic Details
Published in:Oral oncology 2007-02, Vol.43 (2), p.204-212
Main Authors: Papadopoulos, O, Konofaos, P, Tsantoulas, Z, Chrisostomidis, C, Frangoulis, M, Karakitsos, P
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Biopsy, Fine-Needle
Carcinoma, Basal Cell - pathology
Carcinoma, Basal Cell - surgery
Carcinoma, Squamous Cell - pathology
Carcinoma, Squamous Cell - surgery
Epidemiologic Methods
Female
Hematology, Oncology and Palliative Medicine
Humans
Lip - surgery
Lip defects
Lip Neoplasms - pathology
Lip Neoplasms - surgery
Lip reconstruction
Lip tumors
Male
Medical sciences
Middle Aged
Neoplasm Recurrence, Local
Otolaryngology
Otorhinolaryngology. Stomatology
Reconstructive Surgical Procedures - methods
Sex Factors
ThinPrep technique
Treatment Outcome
Tumors
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Summary:Summary Reconstructive surgery of the lips after resection of tumors requires a complete understanding of the anatomy of this region. Most lip cancers remain localized and grow slowly, with a propensity for superficial rather than vertical spread. From January 1983 to December of 2005, 899 patients underwent reconstructive surgery for skin tumors involving the lips. SCCs were the most frequent skin tumors on male patients whereas BCCs were most common on the female patients. The lower lip was the anatomic zone most frequently involved in our series. Preoperative evaluation of the patients was performed in all cases. In the last five-years, we have performed preoperative fine needle aspiration (FNA) biopsy of the tumor. The FNA sample was then examined by ThinPrep technique (Cytolyt; Cytyc, Co, Boxborough, MA, USA). In our series, from the 550 patients who had a five-year follow-up we observed 62 recurrences of the primary tumor. The five-year recurrence rate was 11.28%. The aim of this retrospective study is to report our experience in the treatment of lips tumors with selective combination of treatment modalities.
ISSN:1368-8375
1879-0593
DOI:10.1016/j.oraloncology.2006.02.015