title: [Management of recurrent lower lip carcinomas].
abstract: OBJECTIVE
  In this study patients who had locoregional recurrence of lower lip carcinomas after therapies such as surgery, electrocoagulation, cryotherapy or traditional local therapies are discussed.
  
  
  METHODS
  The records of 16 cases (1 female, 15 males; mean age 58 years; range 30 to 83 years) with recurrent lower lip carcinoma admitted between March 2002 and September 2007 to Dr. Abdurrahman Yurtarslan Oncology Training and Research Hospital, Ear, Nose and Throat Department were retrospectively reviewed.
  
  
  RESULTS
  Fourteen patients had been treated in other institutions, while two had been treated in our center. Four of the patients had recurrence in the lip, four patients had recurrence only in the neck, and the remaining eight patients had both lip and neck recurrence. Ten patients received modified radical or radical neck dissection because of their palpable lymphadenopathies, three patients received supraomohyoid neck dissection due to non palpable lymphadenopathies, and the remaining three patients did not have neck dissection because of co-morbid diseases. Seven patients (43%) died in the first postoperative year because of lower lip carcinomas and three patients died because of other reasons. Six patients survived for the first two years without any evidence of disease.
  
  
  CONCLUSIONS
  Patient survival will be affected by the applied treatment. For patients with primary lower lip cancers, otolaryngologists experienced in oncology must plan surgery rather than local treatments. In case of locoregional recurrence, immediate treatment should be planned.
authors.affiliation: Department of Otolaryngology, Ankara Oncology Training and Research Hospital, Ankara, Turkey.
authors.forename: Omer
authors.initials: O
authors.lastname: Genç
authors.forename: Hasan Mete
authors.initials: HM
authors.lastname: Inançlı
authors.forename: Sefik Sinan
authors.initials: SS
authors.lastname: Kürkçüoğlu
authors.forename: Umit
authors.initials: U
authors.lastname: Tunçel
authors.forename: Murat
authors.initials: M
authors.lastname: Enöz
authors.forename: Mehmet
authors.initials: M
authors.lastname: Haksever
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006258:Head and Neck Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008048:Lip Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000517:prevention & control / Q000601:surgery*; D015996:Survival Rate; D016896:Treatment Outcome