title: Surgical treatment of lip cancer: our experience with 106 cases.
abstract: OBJECTIVE
  To report our experience with 106 cases of lip cancer.
  
  
  METHODS
  We treated 106 patients with stages T1, T2, or T3 lip cancer (76, 22, and 8 cases, respectively). For the 34 T1 lesions up to 1 cm in diameter, we used a V or W excision. In the 42 T1 lesions greater than 1 cm and the 20 T2 lesions, we used the staircase technique. In 2 T2 cases, the carcinoma was located on the labial commissure and was treated with the Fries technique. For the 8 T3 cases, we used the Bernard-Freeman-Fries technique. In 28 patients, a lip shave was performed and tumor was removed. The 7 patients who were N+ at diagnosis underwent modified radical neck dissection and radiotherapy.
  
  
  RESULTS
  Ten patients died during the follow-up period of 11 to 65 months: 8 of unrelated causes and 2 of new upper aerodigestive tract carcinoma. None of the patients died of their lip cancer.
  
  
  CONCLUSIONS
  Lip cancer is a frequent disease of the oral cavity. Although general agreement has been reached concerning stage T and N+ surgical treatment, unresolved questions remain with regard to N0 treatment. We present our experience and suggestions.
authors.affiliation: Maxillo-Facial Surgery Unit, Head and Neck Department, Modena and Reggio Emilia University, Modena, Italy. attiliocarlo.salgarelli@unimore.it
authors.forename: Attilio Carlo
authors.initials: AC
authors.lastname: Salgarelli
authors.forename: Francesco
authors.initials: F
authors.lastname: Sartorelli
authors.forename: Alessandro
authors.initials: A
authors.lastname: Cangiano
authors.forename: Renato
authors.initials: R
authors.lastname: Pagani
authors.forename: Marco
authors.initials: M
authors.lastname: Collini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000556:secondary / Q000601:surgery*; D002423:Cause of Death; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008046:Lip / Q000601:surgery; D008048:Lip Neoplasms / Q000601:surgery*; D008207:Lymphatic Metastasis / Q000473:pathology; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D009367:Neoplasm Staging; D016609:Neoplasms, Second Primary / Q000473:pathology; D018714:Radiotherapy, Adjuvant; D019651:Plastic Surgery Procedures / Q000379:methods; D012189:Retrospective Studies; D012307:Risk Factors