Pictures of lip cancer
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Summary
3 papers analyzed
These studies suggest that lip cancer, specifically lip squamous cell carcinoma, is a high-risk skin cancer with distinctive color patterns and vascular features, has varying treatment guidelines, and can be treated with radiation or surgery, with the main cause of death being neck metastases.
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Understanding Lip Cancer: Clinical Features and Treatment
Introduction to Lip Cancer
Lip cancer, primarily squamous cell carcinoma (SCC), is a significant health concern, particularly affecting older, fair-skinned individuals. It represents a unique intersection of cutaneous and oral-mucosal cancers, with distinct clinical behaviors and treatment protocols.
Clinical and Dermoscopic Features of Lip SCC
Prevalence and Demographics
Lip SCC is predominantly found in older males, with a median age of 75 years. The lower lip is the most commonly affected site, accounting for 91% of cases. This cancer type is characterized by its slow growth and potential for metastasis, particularly to cervical lymph nodes.
Dermoscopic Characteristics
Dermoscopy has proven to be a valuable tool in the early diagnosis of lip SCC. Key dermoscopic features include a polymorphous vascular pattern with nonfocused small-sized vessels distributed peripherally and throughout the lesion. Clinically, these tumors often present with combined white-yellow and red colors, and ulceration is a common finding.
Risk Factors and Clinical Behavior
Lip SCC shares risk factors with both cutaneous and oral-mucosal SCCs, including sun exposure, fair skin, and older age. However, it exhibits intermediate rates of nodal metastasis and mortality compared to its cutaneous and oral-mucosal counterparts. The aggressive nature of lip SCC necessitates careful clinical management and follow-up.
Treatment Modalities
Surgical and Non-Surgical Options
Treatment for lip SCC can include surgery, radiation therapy, or a combination of both. Surgical excision remains a primary treatment, especially for larger or higher-grade tumors. Radiation therapy, including x-ray and radium, is also effective, particularly for destroying cancer cells in lymph nodes.
Management of Metastasis
Metastasis to cervical lymph nodes occurs in approximately one in four cases. Prophylactic treatment of cervical lymphatics is generally unnecessary if the patient is cooperative with follow-up examinations. Movable metastatic nodes are typically treated with block dissection, while fixed metastases may require combined radiation and surgical approaches.
Conclusion
Lip SCC is a complex malignancy requiring a multidisciplinary approach for optimal management. Early diagnosis through dermoscopy, understanding of clinical behavior, and appropriate treatment strategies are crucial for improving patient outcomes. Regular follow-up and tailored treatment plans are essential to address the unique challenges posed by this type of cancer.
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