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A Journal on Dentistry and Maxillofacial Surgery
Minerva Stomatologica 2003 March;52(3):123-6
Squamous cell carcinoma of the lip. Retrospective analysis of 42 cases
Itro A., Santagata M., Carotenuto A., Nicoletti G., Tartaro G. P.
Background. To examine to what extent physicians follow a regional guidelines for the diagnosis, staging, treatment and follow-up of patients with squamous cell carcinoma of the lower and upper lip.
Methods. Design: retrospective analysis of data from the medical records of 42 patients diagnosed with squamous cell carcinoma of the lower and upper lip during the period 1990-2000. Setting: Department of head and neck pathology, oral cavity and audio-verbal communication of Naples University. Participants: the data were collected by this Department.
Results. In accordance with the TNM system, the 50% of cases was in stage T1, 33% in T2, 14% in T3. In few cases (3%) the lesion was in stage T4. All cases were in M0 and only 8% of cases presented nodal disease at diagnosis (N1).
The type of treatment in relation to age was in agreement with the guidelines in 34% of cases. Of the 42 surgically-treated patients, only 4 showed, after 12 months, a local recurrence.
Conclusions. Prognosis is good if squamous carcinoma is diagnosed early.