Lip carcinoma. Our experience
Abstract Introduction and objective: Lip cancer is the most common type of cancer in head and neck tumors. The risk factors are well-defined (UV exposure, smoking, precancerous lesions), and affects mostly older men. The survival rate is high (more than 90 percent according to the scientific research) regardless of the treatment. The most frequently employed treatments include radiation, brachytherapy and surgery with reconstruction, obtaining similar results between them. Methods: We review all the patients diagnosed of lip cancer in San Pedro Hospital from 2012 to 2017, and analyze the treatments performed, the reconstruction technique used and the survival. Furthermore, we review the relevant literature about lip cancer in the main medical databases. Results: On the whole of the13 patients underwent surgery, there has not been any specific sick leave, using the different procedures for reconstructing, obtaining satisfactory aesthetic and functional results. Discussion: According to the revised bibliography, lip cancer is a common disease which can be treated preferably with surgery and reconstruction. It is diagnosed at early stages, so that the frequency of metastasis is low and its mortality rate below 2 percent. Conclusions: It is quite common that patients diagnosed with lip cancer may be assessed in several specialities. We believe that the figure of otorhinolaryngologists should make the diagnosis, treatment and follow-up of this disease due to the global vision that head and neck oncology needs.
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Bota JP, Lyons AB, Carroll BT. Squamous Cell Carcinoma of the Lip-A Review of Squamous Cell Carcinogenesis of the Mucosal and Cutaneous Junction. Dermatol Surg. 2017;43(4):494-506. - https://doi.org/10.1097/DSS.0000000000001020. - PMid:28157733
Cheng A, Schmidt BL. Management of the N0 neck in oral squamous cell carcinoma. Oral Maxillofac Surg Clin North Am. 2008;20(3):477-97. - https://doi.org/10.1016/j.coms.2008.02.002. - PMid:18603204
Chone CT, Magalhes RS, Etchehebere E, Camargo E, Altemani A, Crespo AN. Predictive value of sentinel node biopsy in head and neck cancer. Acta Otolaryngol. 2008;128(8):920-4. - https://doi.org/10.1080/00016480701760114. - PMid:18607941
Delannes M, Rio E, Mirabel X, Brun T, Ducassou A, David I. Brachytherapy for cutaneous and lip carcinomas. Cancer Radiother. 2013;17(2):136-9. - https://doi.org/10.1016/j.canrad.2013.02.003. - PMid:23538040
Delannes M, Rio E, Mirabel X, Brun T, Ducassou A, David I. Brachytherapy for cutaneous and lip carcinomas. Cancer Radiother. 2013;17(2):136-9. - https://doi.org/10.1016/j.canrad.2013.02.003. - PMid:23538040
Diaz-De-Cerio-Canduela P, Omedes-Sancho S. Extirpación de carcinoma de labio inferior y reconstrucción mediante colgajo de Karapandzic. Descripción de un caso. Revista ORL [Internet]. 19 Oct 2017 [citado 19 Oct 2017]; 0(0): 4p. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/17081
GEC Mazeron JJ, Ardiet JM, Haie-Méder C, Kovács G, Levendag P, Peiffert D, et al. ESTRO recommendations for brachytherapy for head and neck squamous cell carcinomas. Radiother Oncol. 2009;91(2):150-6. - https://doi.org/10.1016/j.radonc.2009.01.005. - PMid:19329209
Loh T, Rubin AG, Brian Jiang SI. Management of Mucosal Basal Cell Carcinoma of the Lip: An Update and Comprehensive Review of the Literature. Dermatol Surg. 2016;42(12):1313-9. - https://doi.org/10.1097/DSS.0000000000000790. - PMid:27755173
Lubek JE, Ord RA. Lip reconstruction. Oral Maxillofac Surg Clin North Am. 2013;25(2):203-14. - https://doi.org/10.1016/j.coms.2013.01.001. - PMid:23510600
Macey R, Walsh T, Brocklehurst P, Kerr AR, Liu JL, Lingen MW et al. Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically evident lesions. Cochrane Database Syst Rev. 2015;29;(5):CD010276. - https://doi.org/10.1002/14651858.CD010276.pub2
Mazeron JJ, Ardiet JM, Haie-Méder C, Kovács G, Levendag P, Peiffert D et al. GEC-ESTRO recommendations for brachytherapy for head and neck squamous cell carcinomas. Radiother Oncol. 2009;91(2):150-6. - https://doi.org/10.1016/j.radonc.2009.01.005. - PMid:19329209
Urushidate S, Yokoi K, Higuma Y, Mikami M, Watanabe Y, Saito M, et al. New way to raise the V-Y advancement flap for reconstruction of the lower lip: bipedicled orbicularis oris musculocutaneous flap technique. J Plast Surg Hand Surg. 2011;45(2):66-71. - https://doi.org/10.3109/2000656X.2011.569193. - PMid:21504275
Vavassori A, Gherardi F, Colangione SP, Fodor C, Cattani F, Lazzari R et al. High-dose-rate interstitial brachytherapy in early stage buccal mucosa and lip cancer: report on 12 consecutive patients and review of the literature. Tumori. 2012;98(4):471-7. - https://doi.org/10.1177/030089161209800412. - PMid:23052164
Warnakulasuriya S. Living with oral cancer: epidemiology with particular reference to prevalence and life-style changes that influence survival. Oral Oncol. 2010;46(6):407-10. - https://doi.org/10.1016/j.oraloncology.2010.02.015. - PMid:20403722
Bhandari K, Wang DC, Li SC, Jiang BH, Guo YX, Koirala U et al. Primary cN0 lip squamous cell carcinoma and elective neck dissection: Systematic review and meta-analysis. Head Neck. 2015;37(9):1392-400. - https://doi.org/10.1002/hed.23772. - PMid:24839013
Bota JP, Lyons AB, Carroll BT. Squamous Cell Carcinoma of the Lip-A Review of Squamous Cell Carcinogenesis of the Mucosal and Cutaneous Junction. Dermatol Surg. 2017;43(4):494-506. - https://doi.org/10.1097/DSS.0000000000001020. - PMid:28157733
Cheng A, Schmidt BL. Management of the N0 neck in oral squamous cell carcinoma. Oral Maxillofac Surg Clin North Am. 2008;20(3):477-97. - https://doi.org/10.1016/j.coms.2008.02.002. - PMid:18603204
Chone CT, Magalhes RS, Etchehebere E, Camargo E, Altemani A, Crespo AN. Predictive value of sentinel node biopsy in head and neck cancer. Acta Otolaryngol. 2008;128(8):920-4. - https://doi.org/10.1080/00016480701760114. - PMid:18607941
Delannes M, Rio E, Mirabel X, Brun T, Ducassou A, David I. Brachytherapy for cutaneous and lip carcinomas. Cancer Radiother. 2013;17(2):136-9. - https://doi.org/10.1016/j.canrad.2013.02.003. - PMid:23538040
Delannes M, Rio E, Mirabel X, Brun T, Ducassou A, David I. Brachytherapy for cutaneous and lip carcinomas. Cancer Radiother. 2013;17(2):136-9. - https://doi.org/10.1016/j.canrad.2013.02.003. - PMid:23538040
Diaz-De-Cerio-Canduela P, Omedes-Sancho S. Extirpación de carcinoma de labio inferior y reconstrucción mediante colgajo de Karapandzic. Descripción de un caso. Revista ORL [Internet]. 19 Oct 2017 [citado 19 Oct 2017]; 0(0): 4p. Disponible en: http://revistas.usal.es/cinco/index.php/2444-7986/article/view/17081
GEC Mazeron JJ, Ardiet JM, Haie-Méder C, Kovács G, Levendag P, Peiffert D, et al. ESTRO recommendations for brachytherapy for head and neck squamous cell carcinomas. Radiother Oncol. 2009;91(2):150-6. - https://doi.org/10.1016/j.radonc.2009.01.005. - PMid:19329209
Loh T, Rubin AG, Brian Jiang SI. Management of Mucosal Basal Cell Carcinoma of the Lip: An Update and Comprehensive Review of the Literature. Dermatol Surg. 2016;42(12):1313-9. - https://doi.org/10.1097/DSS.0000000000000790. - PMid:27755173
Lubek JE, Ord RA. Lip reconstruction. Oral Maxillofac Surg Clin North Am. 2013;25(2):203-14. - https://doi.org/10.1016/j.coms.2013.01.001. - PMid:23510600
Macey R, Walsh T, Brocklehurst P, Kerr AR, Liu JL, Lingen MW et al. Diagnostic tests for oral cancer and potentially malignant disorders in patients presenting with clinically evident lesions. Cochrane Database Syst Rev. 2015;29;(5):CD010276. - https://doi.org/10.1002/14651858.CD010276.pub2
Mazeron JJ, Ardiet JM, Haie-Méder C, Kovács G, Levendag P, Peiffert D et al. GEC-ESTRO recommendations for brachytherapy for head and neck squamous cell carcinomas. Radiother Oncol. 2009;91(2):150-6. - https://doi.org/10.1016/j.radonc.2009.01.005. - PMid:19329209
Urushidate S, Yokoi K, Higuma Y, Mikami M, Watanabe Y, Saito M, et al. New way to raise the V-Y advancement flap for reconstruction of the lower lip: bipedicled orbicularis oris musculocutaneous flap technique. J Plast Surg Hand Surg. 2011;45(2):66-71. - https://doi.org/10.3109/2000656X.2011.569193. - PMid:21504275
Vavassori A, Gherardi F, Colangione SP, Fodor C, Cattani F, Lazzari R et al. High-dose-rate interstitial brachytherapy in early stage buccal mucosa and lip cancer: report on 12 consecutive patients and review of the literature. Tumori. 2012;98(4):471-7. - https://doi.org/10.1177/030089161209800412. - PMid:23052164
Warnakulasuriya S. Living with oral cancer: epidemiology with particular reference to prevalence and life-style changes that influence survival. Oral Oncol. 2010;46(6):407-10. - https://doi.org/10.1016/j.oraloncology.2010.02.015. - PMid:20403722
Carreras-Alcaraz, A., Ibáñez-Muñoz, C., Zabaleta-López, M., & Díaz De Cerio-Canduela, P. (2019). Lip carcinoma. Our experience. Revista ORL, 10(1), 5–9. https://doi.org/10.14201/orl.17868
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