Overview of Lip Cancers at Fann University Hospital: From Epidemiology to Treatment

Fall F*, Niang F, Mbaye A, Ndiaye M, Diom ES, Ndiaye C, Ndiaye M and Tall A

Introduction: Lip cancer is uncommon but not exceptional among malignant tumors. The study aimed to describe the epidemiological, clinical, therapeutic, and prognostic aspects of malignant lip tumors treated in the ENT Department of the National University Hospital of Fann in Dakar, Senegal.

Patients and methods: We conducted a retrospective and descriptive study in the ENT Department of Fann, over fourteen years (6 January -31 December, 2023), involving patients with lip cancers confirmed by pathology. The parameters studied included demographic characteristics, lifestyle patterns, clinical and pathological features, and treatment outcomes, analyzed using descriptive statistics with Excel 2013 software.

Results: 36 cases were collected. The mean age of the patient was 58,5 years, with a sex ratio of 1.12. Poor oral health was identified as the primary risk factor, followed by prolonged exposure to sunlight. The predominant site was in the lower lip, accounting for 72,2% of cases. The most common appearance was budding and ulcerative (61,1%). Squamous cell carcinoma was the most frequent histological type, found in 97,2% of cases. Tumors were classified as T4 in 64% of patients. Surgical treatment was performed on 28 patients, with flap reconstruction utilized (pectoralis major musculocutaneous flap 30,5%). The carcinological progression was characterized by 4 cases of continued evolution, 1 case of tumor recurrence, and a mortality rate of 35%.

Conclusion: Lip cancers mainly develop in the lower lip. Surgical treatment and reconstruction depend on the size and location of the tumor and should aim to achieve satisfactory aesthetic and functional results.

Keywords:

Published on: Dec 17, 2024 Pages: 27-31

Full Text PDF Full Text HTML DOI: 10.17352/2455-1759.000157
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat