Aytbaev E.S., Minenkov G.O. The treatment of the lower lip cancer
https://doi.org/10.17238/PmJ1609-1175.2017.1.65-68
Abstract
Objective. The study objective is to analyze the results of the X-ray, surgical and combined therapy of the lower lip cancer. Methods. The analysis of the therapy included 474 patients with lower lip cancer. 385 patients received X-ray therapy; 57 patients -surgical therapy; and 32 patients received combined therapy. Distribution of the observation of TNM: T1N0-1M0 - 95, T2N0-3M0 - 248, T3N0-3M0 - 99, T4N0-3M0 - 32. Conducted 189 resections of the lower lip (77 of them on the author's method of cheiloplasty), 222 cervical lymph node dissection (41 of them - modified). Long-term results of treatment were evaluated by Kaplan-Meier. Results. Cancer recurrence after X-ray, the combined and surgical treatment diagnosed in 241 (62 %), 6 (19 %), and 7 (12.2 %) patients, respectively. 3- and 5-year survival of patients were 56.7±2.3 and 49.6±3.4 %, 76.0±9.3 and 70,7±11,9%, 77.6±7.9 and 72.4±8.3 % for all stages of cancer after X-ray, the combined and surgical treatment methods, respectively. Conclusions. It is necessary to conduct active surgical tactics in the treatment of cancer of the lower lip. Cheiloplasty method and a modified version of the functional neck dissection may reduce postoperative complications and recurrences.
About the Authors
R. A. Sultanbekov
National Oncology Centre ofthe Kyrgyz Republic
Russian Federation
Russian Federation
K. K. Dzhunushaliev
National Oncology Centre ofthe Kyrgyz Republic
Russian Federation
Russian Federation
M. P. Sarzhevskaya
National Oncology Centre ofthe Kyrgyz Republic
Russian Federation
Russian Federation
E. S. Aytbaev
National Oncology Centre ofthe Kyrgyz Republic
Russian Federation
Russian Federation
G. O. Minenkov
National Oncology Centre ofthe Kyrgyz Republic
Russian Federation
Russian Federation
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Review
For citations:
Sultanbekov R.A., Dzhunushaliev K.K., Sarzhevskaya M.P., Aytbaev E.S., Minenkov G.O. Aytbaev E.S., Minenkov G.O. The treatment of the lower lip cancer. Pacific Medical Journal. 2017;(1):65-68. (In Russ.) https://doi.org/10.17238/PmJ1609-1175.2017.1.65-68
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