www.sbdmj.com - Stomatologija - Baltic Dental and Maxillofacial Journal

Summary

Retrospective study of 189 cases of lower lip cancer treated from 1996 - 2000 is done. There were 69 % males and 31 % females. Median age was 66.8 years. 84.4 % of patients were with tumors stage I - II. Surgical treatment was performed in 83.6 % of patients . In all operated cases was squamous cell carcinoma as verrucous tumor in 17.4 %, as exophytic in 46% and as ulcerative in 36.6%.There were different methods of local excision , primary reconstruction and neck dissection depending from stage.

In the patient group with clinically negative neck at the first attendance (170 patients) delayed cervical metastases developed in 6 patients (3.5%).Recurrence at the primary site developed in 11.3 % of patients and was associated with large tumor size and low cancer differentiation. Survival rate at 5-year follow-up was 95% for patients with I stage, 89.7% for II stage and 37% for III and IV stage patients or mean for all group 83.7%. Diagnosis and treatment of actinic cheilitis also is discussed.

Key words: lip, cancer, surgery, outcomes

Received: 18 04 2005

Accepted for publishing: 20 08 2005

Egils Kornevs - D.D.S., Dr.hab.med.,assoc.professor, Department of Oral and maxillofacial Surgery Riga Stradins University, Latvia.

Andrejs Skagers - M.D., Dr.hab.med.,profesor, Head of Department of Oral and Maxillofacial Surgery Riga Stradins University, Latvia.

Juris Tars - M.D., Head of Department of Head and Neck Surgery Latvian Oncological center.

Andris Bigestans - M.D.,D.D.S.,Lecturer, Department of Oral and maxillofacial Surgery Riga Stradins University, Latvia.

Gunars Lauskis - M.D.,D.D.S., Lecturer, Department of Oral and maxillofacial Surgery Riga Stradins University, Latvia.

Olafs Libermanis - Surgeon, Latvian Center of Plastic and Reconstructive Microsurgery.

Address correspondence to Prof. Egils Kornevs, Institute of Stomatology, Dzirciema str. 20, Riga, Latvia, LV-1007.

E-mail : kornevsegils@inbox.lv



	Baltic Dental and Maxillofacial Journal

September, 2005, Vol. 7, No. 3 CONTENTS SCIENTIFIC ARTICLES Jaw tracking devices - historical review of methods development. Part I 67 - 71 Jaw tracking devices - historical review of methods development. Part II 72 - 76 The masticatory system - an overview 77 - 80 Oral parafunctions and positive clinical examination findings 81 - 83 Testing of the questionnaire on dental care satisfaction in a sample of adult patients visiting dental clinics at Faculty of Odontology, Kaunas University of Medicine. A Pilot study 84 - 89 Secretory function of neutrophilic leukocytes of the patients with periodontal diseases 90 - 94 5 year experience with lower lip cancer 95 - 98 © 2005 Stomatologija		Stomatologija 2005; 7 (3): 95-8 1034 KB 5 year experience with lower lip cancer Egils Kornevs, Andrejs Skagers, Juris Tars, Andris Bigestans, Gunars Lauskis, Olafs Libermanis Summary Retrospective study of 189 cases of lower lip cancer treated from 1996 - 2000 is done. There were 69 % males and 31 % females. Median age was 66.8 years. 84.4 % of patients were with tumors stage I - II. Surgical treatment was performed in 83.6 % of patients . In all operated cases was squamous cell carcinoma as verrucous tumor in 17.4 %, as exophytic in 46% and as ulcerative in 36.6%.There were different methods of local excision , primary reconstruction and neck dissection depending from stage. In the patient group with clinically negative neck at the first attendance (170 patients) delayed cervical metastases developed in 6 patients (3.5%).Recurrence at the primary site developed in 11.3 % of patients and was associated with large tumor size and low cancer differentiation. Survival rate at 5-year follow-up was 95% for patients with I stage, 89.7% for II stage and 37% for III and IV stage patients or mean for all group 83.7%. Diagnosis and treatment of actinic cheilitis also is discussed. Key words: lip, cancer, surgery, outcomes Received: 18 04 2005 Accepted for publishing: 20 08 2005 Egils Kornevs - D.D.S., Dr.hab.med.,assoc.professor, Department of Oral and maxillofacial Surgery Riga Stradins University, Latvia. Andrejs Skagers - M.D., Dr.hab.med.,profesor, Head of Department of Oral and Maxillofacial Surgery Riga Stradins University, Latvia. Juris Tars - M.D., Head of Department of Head and Neck Surgery Latvian Oncological center. Andris Bigestans - M.D.,D.D.S.,Lecturer, Department of Oral and maxillofacial Surgery Riga Stradins University, Latvia. Gunars Lauskis - M.D.,D.D.S., Lecturer, Department of Oral and maxillofacial Surgery Riga Stradins University, Latvia. Olafs Libermanis - Surgeon, Latvian Center of Plastic and Reconstructive Microsurgery. Address correspondence to Prof. Egils Kornevs, Institute of Stomatology, Dzirciema str. 20, Riga, Latvia, LV-1007. E-mail : kornevsegils@inbox.lv