RECURRENT SQUAMOUS CELL CARCINOMA OF THE LOWER LIP: SALVAGE SURGERY OUTCOME

A 38 year old gentleman presented with recurrent Squamos cell carcinoma of lower lip. He had earlier undergone previous surgeries and radiotherapy. At the time that he presented in KMCTH his lower lip area was much scarred and the tongue was shrunk and unavailable for vermilion reconstruction. This case report is an account of the various treatment carried out to reconstruct the lip. It was done with co-operation of the ENT department. Key words: Recurrent squamous cell carcinoma, Gillies fan flap, Deltopectoral flap, Delay of flaps doi: 10.3126/kumj.v6i3.1715 Kathmandu University Medical Journal (2008), Vol. 6, No. 3, Issue 23, 375-378

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Prognostic factors and outcomes for salvage surgery in patients with recurrent squamous cell carcinoma of the tongue

Asia-Pacific Journal of Clinical Oncology ◽

10.1111/ajco.12087 ◽

2013 ◽

Vol 12 (1) ◽

pp. e141-e148 ◽

Cited By ~ 9

Author(s):

Mitsuo Goto ◽

Nobuhiro Hanai ◽

Taijiro Ozawa ◽

Hitoshi Hirakawa ◽

Hidenori Suzuki ◽

...

Keyword(s):

Squamous Cell Carcinoma ◽

Prognostic Factors ◽

Cell Carcinoma ◽

Squamous Cell ◽

Salvage Surgery ◽

Recurrent Squamous Cell Carcinoma ◽

Carcinoma Of The Tongue

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CyberKnife Stereotactic Radiosurgery for Recurrent Squamous Cell Carcinoma of the Head and Neck Following Salvage Surgery with Close or Positive Margins

The Laryngoscope ◽

10.1002/lary.21616 ◽

2010 ◽

Vol 120 (S4) ◽

pp. S152-S152 ◽

Cited By ~ 4

Author(s):

Christian P. Hasney ◽

Robert G. Swanton ◽

Paul L. Friedlander

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Head And Neck ◽

Stereotactic Radiosurgery ◽

Squamous Cell ◽

Salvage Surgery ◽

Positive Margins ◽

Recurrent Squamous Cell Carcinoma

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Extended Temporal Bone Resection for Squamous Cell Carcinoma

Otolaryngology ◽

10.1016/s0194-5998(97)70237-7 ◽

1997 ◽

Vol 116 (6) ◽

pp. 617-623 ◽

Cited By ~ 36

Author(s):

David A. Moffat ◽

Philip Grey ◽

Robert H. Ballagh ◽

David G. Hardy

Keyword(s):

Squamous Cell Carcinoma ◽

Cell Carcinoma ◽

Temporal Bone ◽

Temporal Lobe ◽

Squamous Cell ◽

Radical Surgery ◽

Salvage Surgery ◽

Bone Resection ◽

Recurrent Squamous Cell Carcinoma ◽

Temporal Bone Resection

OBJECTIVE: The aim of this study was to assess the surgical results of a series of patients from this unit who underwent extended temporal bone resection for recurrent squamous cell carcinoma as a salvage procedure. DESIGN: The surgical records of 15 patients were analyzed in detail. Each patient had salvage surgery in the form of an extended temporal bone resection with supraomohyoid block dissection, dural grafting, and free microvascular forearm or scalp rotation flap repair for recurrent squamous cell carcinoma in a radical mastoid cavity. RESULTS: Radical surgery yielded a 47% 5-year survival. Twenty-nine percent of the survivors had temporal lobe involvement that necessitated a partial excision of the temporal lobe of the brain. Histologic evidence of local lymph node involvement in the supraomohyoid neck dissection was present in 13% of cases. Those who died did so in the first postoperative year. All those with poorly differentiated tumors died. The survivors had well or moderately differentiated tumors. CONCLUSIONS: Radiotherapy alone or partial temporal bone resection, most commonly a radical mastoidectomy with or without preoperative or postoperative radiotherapy is used by the majority of otolaryngologists in treating squamous cell carcinoma of the temporal bone. The 5-year survival rate after this treatment remains depressingly low and the prognosis gloomy, particularly for advanced tumors. The findings in this series of extended temporal bone resections as salvage surgery in recurrent disease is encouraging, and radical surgery combined with radiotherapy from the outset may give much better 5-year survival figures in the future than the conventional partial temporal bone resection and radiotherapy. (Otolaryngol Head Neck Surg 1997;116:617–23.)

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