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Medline ® Abstract for Reference 14

of 'Treatment of locoregionally advanced (stage III and IV) head and neck cancer: The oral cavity'

Surgical treatment of lip cancer: our experience with 106 cases.
Salgarelli AC, Sartorelli F, Cangiano A, Pagani R, Collini M
J Oral Maxillofac Surg. 2009;67(4):840.
PURPOSE: To report our experience with 106 cases of lip cancer.
PATIENTS AND METHODS: We treated 106 patients with stages T1, T2, or T3 lip cancer (76, 22, and 8 cases, respectively). For the 34 T1 lesions up to 1 cm in diameter, we used a V or W excision. In the 42 T1 lesions greater than 1 cm and the 20 T2 lesions, we used the staircase technique. In 2 T2 cases, the carcinoma was located on the labial commissure and was treated with the Fries technique. For the 8 T3 cases, we used the Bernard-Freeman-Fries technique. In 28 patients, a lip shave was performed and tumor was removed. The 7 patients who were N+ at diagnosis underwent modified radical neck dissection and radiotherapy.
RESULTS: Ten patients died during the follow-up period of 11 to 65 months: 8 of unrelated causes and 2 of new upper aerodigestive tract carcinoma. None of the patients died of their lip cancer.
CONCLUSIONS: Lip cancer is a frequent disease of the oral cavity. Although general agreement has been reached concerning stage T and N+ surgical treatment, unresolved questions remain with regard to N0 treatment. We present our experience and suggestions.
Maxillo-Facial Surgery Unit, Head and Neck Department, Modena and Reggio Emilia University, Modena, Italy. attiliocarlo.salgarelli@unimore.it