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An audit of carcinoma of lip at Liaquat University Hospital, Jamshoro Pakistan

Ghulam Ali Memon, Abdul Razzaque Memon, Imdad A Khushk..

Abstract
OBJECTIVES: To see the common clinical presentations of carcinoma of lip and outcome of surgical procedures associated with it in our set up. PLACE AND DURATION OF STUDY: Liaquat University Hospital, Jamshoro; Sindh Pakistan from January 1981 to December 2002. DESIGN: A descriptive study. PATIENTS AND METHODS: Medical records of 96 cases of carcinoma of lip treated in both surgical and plastic surgical units at Liaquat University Hospital were analyzed retrospectively. RESULTS: Male and female ratio was 1.33:1. About 65% of the patients presented between 41-60 years of age. Site was lower lip in 63 cases, upper lip in 15 cases and labial commisure in 13 cases. Extensive carcinoma with involvement of both lips and angle of mouth and cheek was in 5 cases. In all cases, surgery was performed. Chemotherapy was given to 20 cases while radiotherapy to 47 cases. 50 cases presented with history of tobacco use. 50% of the cases had submucous fibrosis and leukoplakia. Meanwhile, 6 patients had history of associated skin diseases (Xeroderma pigmentosa and systematic lupus erythromatus). CONCLUSION: In managing cases of carcinoma of lip in our set up, emphasis should be given to curative treatment and simple reconstructive surgery.

Key words: Carcinoma. Hospitals, University. Lip. Lip Neoplasms. Carcinoma, Squamous Cell. Carcinoma, Basal Cell. Neck Dissection. Lymphatic Metastasis. Neoplasm Staging.



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