Carcinoma Lip

CARCINOMA LIP


CARCINOMA LIP

  • Carcinoma lip is more common in western countries.

ETIOLOGY-

  • UV radiation (in farmers, due to sun exposure as Countryman’s lips leads to carcinoma lip).
  • Leukoplakia
  • Genetic factor
  • Khaini chewers

CLINICAL FEATURES-

  • Seen in elderly person.
  • Most common on vermillion border of lower lip.
  • Non healing ulcer have everted margins, indurated base and bleed on touching.
  • Exophytic crusted lesion.
  • Mobility present.
  • Lymph nodes metastases to submental or submandibular nodes.

HISTOLOGY

  • Carcinoma lip are usually always well differentiated.

INVESTIGATIONS-

  • Biopsy should be taken from the margin of the lesion.
  • FNAC of enlarged cervical lymph nodes.
  • OPG of jaw to assess involvement of the jaw
  • CT scan is better than radiograph and detects cortical bone destruction.
  • MRI is the investigations of choice for oral cancer.
  • Ultrasound is useful in detecting liver metastasis in guiding FNAC.

TREATMENT-

  1. Surgery-
  2. T1 and T2 lesion excised followed by suturing (V- excision)
  3. Removal of 1/3rd of lip-
  • If 1/3rd or less than 1/3rd lip is involved- V- shaped or W- shaped 
  • If more than 1/3rd lip is involved- Abbe flap, Estlander’s flap (Cross lip flap)
  1. T3 & T4 lesion
  • Excision of entire lip needed followed by PMMC flap reconstruction
  1. Radiotherapy- indicated in all stages of carcinoma lip.

Exam Important

ETIOLOGY-

  • UV radiation (in farmers, due to sun exposure as Countryman’s lips leads to carcinoma lip).
  • Leukoplakia
  • Genetic factor
  • Khaini chewers

INVESTIGATIONS-

  • Biopsy should be taken from the margin of the lesion.
  • FNAC of enlarged cervical lymph nodes.
  • OPG of jaw to assess involvement of the jaw
  • CT scan is better than radiograph and detects cortical bone destruction.
  • MRI is the investigations of choice for oral cancer.
  • Ultrasound is useful in detecting liver metastasis in guiding FNAC

TREATMENT-

  1. Surgery-
  2. T1 and T2 lesion excised followed by suturing (V- excision)
  3. Removal of 1/3rd of lip-
  • Flap reconstruction needed as Abbe flap, Estlander’s flap
  1. T3 & T4 lesion
  • Excision of entire lip needed followed by PMMC flap reconstruction
  1. Radiotherapy- indicated in all stages of carcinoma lip.
Don’t Forget to Solve all the previous Year Question asked on CARCINOMA LIP

Module Below Start Quiz

Leave a Reply

Free Mini Course on Stomach

Mini Course – Stomach

22 High Yield Topics in Stomach

in Just 2 Hours

Submission received, thank you!

Close Window
%d bloggers like this:
Malcare WordPress Security