Epidemiological, Clinical, Paracinical, and Therapeutic Profile of Cancer of The Lip of the Radiotherapy Department of the Unıversity Hospital Center of Fez: About 20 Cases

Year 2019, Volume: 1 Issue: 3, 67 - 71, 25.12.2019

Fadwa Allouche Fatima Zahra Terrab Rajae Ennouichi Zineb Alami Touria Bouhafa Khalid Hassouni

Abstract

Our study concerns 20 cases of
cancer of the lips gathered in the department of radiotherapy of the University
Hospital of Fes during a period of 5 years from 2012 to 2016. It is also
interested in a theoretical and analytical study. The average age of our patients
was 65 years old, predominantly male (86.3%). The diagnosis is usually simple,
confirmed by the biopsy. The predominant histological type was spinocellular in
86.3%, consistent with literature data. The predominant seat was at the level
of the lower lip at 72.8%. The treatment of this cancer had largely benefited
from the progress made by reconstructive surgery using different techniques,
brachytherapy and irradiation of ganglionic areas. In our series, the surgery
consisted of a reasonable resection for small tumors, or an immediate repair
surgery using different processes, whether they are locoregional (77.5% of
cases), or processes remote (4.6% of cases) Surgical treatment was an ideal
solution, the results were satisfactory from a functional and aesthetic point
of view. Our choice for the surgical technique depended on the tumor size, the
possibilities of each flap and the case of each patient. In front of a
malignant tumor of the lips, the treatment must aim at restoring the important
functional quality for the swallowing, the phonation and to reconstruct the
esthetic character of the lip.

Keywords

cancer, lip, radiotherapy

Supporting Institution

RADIOTHERAPY DEPARTMENT OF THE UNIVERSITY HOSPITAL CENTER OF FEZ

Fez Üniversitesi Hastane Merkezinin Radyoterapi Bölümü Dudak Kanseri Epidemiyolojik, Klinik, Parasinik ve Terapötik Profili: 20 Vaka

Abstract

Çalışmamız 2012 - 2016 yılları arasında 5 yıl boyunca Fez Üniversitesi Hastanesi radyoterapi bölümünde toplanan 20 dudak kanseri olgusuyla ilgilidir. Ayrıca teorik ve analitik bir çalışma ile ilgilenmektedir. Hastalarımızın yaş ortalaması 65, çoğunluğu erkekti (% 86.3). Teşhis genellikle biyopsi ile doğrulanan basittir. Baskın olan histolojik tip,% 86.3 oranında spinoküler hücreli olup, literatürdeki verilere karşılık gelir. Baskın koltuk,% 72,8'den daha az dudak seviyesinde idi. Bu kanserin tedavisi, farklı teknikler, brakiterapi ve ganglionik alanların ışınlanması kullanılarak yapılan rekonstrüktif cerrahi ilerlemesinden büyük ölçüde faydalanmıştı. Serimizde cerrahi, küçük tümörler için makul bir rezeksiyon veya lokal bölge (vakaların% 77.5'i) veya uzak işlemler (vakaların% 4.6'sı) olsun, farklı işlemler kullanılarak yapılan acil bir ameliyattan oluşuyor cerrahi tedavi ideal bir çözümdü, sonuçlar fonksiyonel ve estetik açıdan tatmin ediciydi. Bizim cerrahi teknik seçimimiz tümörün büyüklüğüne, her flepin olasılıklarına ve her hastanın durumuna bağlıydı. Dudakların kötü huylu bir tümörünün önünde, tedavi yutma, fonlama için gerekli işlevsel kaliteyi geri kazanmayı ve dudağın estetik karakterini yeniden yapılandırmayı amaçlamalıdır.

Keywords

kanser, dudak, radyoterapi

References

• 1, Bartholomew I, Sannajust J-P, et al. Cancers of the oral cavity. Preamble, epidemiology, clinical study. EMC, Stomatology 2005; 22-063-A-10 2, Chekrin T, Benhmidoune M-A, Benchakroun N. Lip carcinomas: about 41 cases. Cancer / Radiotherapy 2008; 12; 6-7: 739-40 3, Fernandez-Angel I, Rodriguez-Archilla A, et al. Markers of Metastasis in Lip Cancer. Eur J Dermatol 2003; 13: 276-9. 4. Auriol M-M, The Carpenter Y. Histology of the Oral Mucosa and the Maxillae. EMC Stomatology 1998; 22-007-M-10 5. Dediol E, Luksić I, Virag M. Treatment of squamous cell carcinoma of the lip. Coll Antropol. 2008; 32; 2: 199-202. 6. Casino A R, Toledano I P, Jorge J F, et al. Brachytherapy in lip cancer. Med Oral Patol Oral Cir Bucal 2006; 11: E223-9. 7. Ntomouchtsis A, Koloutsos G, Kechagias N, et al. Carcinoma of the lip. A 10-year retrospective analysis Journal of Cranio-Maxillofacial Surgery 2008; 36; 1: S120. 8. Chidzonga M. M, Mahomva L. Squamous cell carcinoma of the oral cavity, maxillary antrum and lip in a Zimbabwean population: A descriptive epidemiological study. Oral Oncology 2006; 42: 184-89. 9.Brix M. General Principles of Lip Surgery. Annals of Aesthetic Plastic Surgery 2002; 47: 413-22. 10. Vedrine L, Chargari C, Moulec S, et al. Chemotherapy of cancers of the upper aerodigestive tract. Cancer / Radiotherapy 2008; 12; 110-19. 11, Mazeron JJ, Noel G, Simon J-M, et al. Brachytherapy of cancers of the ENT sphere. Cancer / Radiotherapy 2003; 7: 62-72. 12, Géry B, Brunette D, Barrellier P. Radiotherapy of cancers of the oral cavity. EMC 1999; 22-065-D-10;