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Second Events After Curative-Intent Treatment for Lip Cancer: Navigating the Path of Follow-Up Care
Fábio Muradás Girardi1, Amanda de Farias Gabriel2, Vivian Petersen Wagner3
1Department of Head and Neck Surgery, Ana Nery Hospital, Santa Cruz Do Sul, Rio Grande Do Sul, Brazil.
Oral Diseases
|November 6, 2024
Summary
Lip cancer survivors frequently develop new skin cancers, with 46% experiencing second primary tumors. Elderly patients and upper lip basal cell carcinoma increase risk. Regular skin checks are crucial for early detection.
Area of Science:
- Oncology
- Dermatology
- Cancer Research
Background:
- Lip cancer treatment aims for cure but subsequent events are common.
- Understanding these events is crucial for patient management and prognosis.
Purpose of the Study:
- To investigate the incidence, risk factors, and outcomes of subsequent events after curative lip cancer treatment.
- To establish evidence-based recommendations for follow-up protocols.
Main Methods:
- Retrospective cohort study of 313 lip cancer patients treated between 2011 and 2021.
- Analysis of second primary tumors, locoregional recurrence, nodal recurrence, and survival data.
Main Results:
- 46.32% of patients developed second primary tumors, predominantly skin carcinomas (93%).
- 1-, 5-, and 10-year cumulative probabilities for second primary tumors were 32.8%, 60.92%, and 70.92%.
- Elderly patients and upper lip basal cell carcinoma showed higher risk; regional metastasis impacted survival.
Conclusions:
- Second primary cutaneous tumors are the most common subsequent event after lip cancer treatment.
- Age and histology are key predictors for second primary tumors; standard skin surveillance is vital.
- Specific guidelines for locally advanced lip squamous cell carcinoma should align with head and neck cancer protocols.
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