Lower lip squamous cell carcinoma: A Vietnamese case report of surgical treatment with reconstruction by local flap.

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Lower lip squamous cell carcinoma: A Vietnamese case report of surgical treatment with reconstruction by local flap.

Int J Surg Case Rep. 2018;53:471-474

Authors: Nguyen HX, Nguyen HV, Nguyen HX, Le QV

Abstract
INTRODUCTION: Squamous cell carcinoma (SCC) of lower lip comprises over 25% of oral cancer. Surgical treatment plan for SCC patients includes tumor excision, lymph node dissection and reconstruction.
CASE PRESENTATION: A 68-year-old patient was admitted with 1-year history of tumor in his lower lip. Examination revealed a large lower lip tumor with expansion to the upper lip and a 2 cm submental lymph node. Biopsy result of the tumor was SCC and fine needle aspiration result of the lymph node was metastasis SCC. He underwent a complete removal of the lower lip and 1/3 external of the upper lip plus dissection of bilateral cervical lymph node plus reconstruction with local flap. After a 4-hour operation and 14-day hospitalization, patient recovered with flap in excellent condition and without any complications.
CONCLUSION: Treatment with tumor excision, lymph node dissection and reconstruction by local flap is primary treatment for patients with lower lip cancer. Choice of reconstruction method depends on various factors, whereas V-Y advancement flap presents dominant advantage in lower lip cancer treatment.

PMID: 30567072 [PubMed]

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