The carcinoma of the lower lip has a great prediliction for lymphatic regional spread. This is the reason why many authors don't advocate prophylactic neck dissection in absence of clinically suspicious cervical lymph node but only when node are clinically palpable or when they become so. A retrospective clinico-pathological study has been carried in a starting series of 30 patients with squamous cell carcinoma of the underlip to value the problem of the therapeutic approche of the latero cervical lymph node. The positive lymph nodes for cancer were 33%. The problems about the lymph node metastases and the choice of the therapy are discusses. The authors emphasize the importance of the surgery treatment of T and N at the same time, considering the high incidence of lymph node metastases even in the N0 cases (19%). The results support the need of the contemporary surgical treatment of the tumor and lymph node.
|Translated title of the contribution||Carcinoma of the lip: Reflections on the treatment of T and N|
|Number of pages||3|
|Journal||Rivista Italiana di Chirurgia Plastica|
|Publication status||Published - 1992|
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