Interstitial brachytherapy for lower lip carcinoma: Global assessment in a retrospective study of 89 cases1. Issue 3 (12th April 2012)

• Record Type: Journal Article
• Authors: Rio, Emmanuel; Bardet, Etienne; Mervoyer, Augustin; Piot, Benoit; Dreno, Brigitte; Malard, Olivier
• Is Part Of: Head & neck. Volume 35:Issue 3(2013:Mar.)
• Page Start: 350
• Page End: 353
• Publication Date: 2012-04-12
• Subjects: Head -- Diseases -- Periodicals; Neck -- Diseases -- Periodicals; Head -- Periodicals; Neck -- Periodicals; Face -- Periodicals; 617.51059
• DOI: 10.1002/hed.22981
• Languages: English
• ISSNs: 1043-3074

Abstract

<abstract abstract-type="main" xml:lang="en"> <title>Abstract</title> <sec id="abs1-1" sec-type="section"> <title>Background</title> <p>Infiltrating squamous cell carcinoma (SCC) of the lower lip is a highly curable cancer. We retrospectively analyzed oncologic, functional, and cosmetic outcomes after interstitial low‐dose rate brachytherapy at 58 Gy (50–62) of lower lip SCC treated in our institution.</p> </sec> <sec id="abs1-2" sec-type="section"> <title>Methods</title> <p>There were 89 patients (44 T1, 33 T2, 2 T3, and 10 after wedge‐excision). All tumors were N0 at the time of treatment. We calculated survival rates and assessed functional and cosmetic results de visu.</p> </sec> <sec id="abs1-3" sec-type="section"> <title>Results</title> <p>After a median follow‐up of 36 months (range, 9–127), 5‐year local control rate was 95% and 5‐year disease‐free survival was 82%. Only 6 patients (5 T2 and 1 T3) developed secondary cervical nodal involvement. Sixty‐one patients were reassessed and 11 patients presented mild functional troubles. Cosmetic results were good (77%) or fair (21%).</p> </sec> <sec id="abs1-4" sec-type="section"> <title>Conclusion</title> <p>Brachytherapy provided a high local disease control rate, excellent functional results, and good cosmetic outcomes for SCCs of the lip. Risk of cervical node involvement was low with small tumors. © 2012 Wiley Periodicals, Inc. Head Neck, 2013</p> </sec> </abstract>