FREE FULL TEXTAnahtar Kelimeler: Dudak kanseri; periost rezeksiyonu;yassı epitel hücreli karsinom; tedavi.
Objectives: In this study patients who had locoregional
recurrence of lower lip carcinomas after therapies
such as surgery, electrocoagulation, cryotherapy or
traditional local therapies are discussed.
Patients and Methods: The records of 16 cases
(1 female, 15 males; mean age 58 years; range 30 to
83 years) with recurrent lower lip carcinoma admitted
between March 2002 and September 2007 to
Dr. Abdurrahman Yurtarslan Oncology Training and
Research Hospital, Ear, Nose and Throat Department
were retrospectively reviewed.
Results: Fourteen patients had been treated in other
institutions, while two had been treated in our center.
Four of the patients had recurrence in the lip, four
patients had recurrence only in the neck, and the
remaining eight patients had both lip and neck recurrence.
Ten patients received modified radical or radical
neck dissection because of their palpable lymphadenopathies,
three patients received supraomohyoid
neck dissection due to non palpable lymphadenopathies,
and the remaining three patients did not have
neck dissection because of co-morbid diseases. Seven
patients (43%) died in the first postoperative year
because of lower lip carcinomas and three patients
died because of other reasons. Six patients survived
for the first two years without any evidence of disease.
Conclusion: Patient survival will be affected by the
applied treatment. For patients with primary lower
lip cancers, otolaryngologists experienced in oncology
must plan surgery rather than local treatments. In
case of locoregional recurrence, immediate treatment
should be planned.