TREATMENT OF SQUAMOUS CELL CARCINOMA IN THE LOWER LIP: CASE REPORT AND REVIEW OF THERAPEUTIC ALTERNATIVES

Bruno Lucena Antunes ABRANTE, Luciana Moraes HORNOS, Marcelo de Gusmão Paraiso CAVALCANTI, Aurea Agulha FREITAS, Cláudio Fróes de FREITAS

Resumo


This article describes the clinical case of an 80-year-old female patient, leucodermic and controlled hypertensive, who presented with an ulcerated lesion on the lower lip with a two-year evolution. After an initial diagnosis of actinic cheilitis with moderate epithelial dysplasia and unsuccessful treatment with cryotherapy, a final diagnosis of squamous cell carcinoma (SCC) was made. Surgical treatment involved a total vermilionectomy of the lower lip, followed by bilateral reconstruction using Gilles flap associated with Z-plasty. The patient showed good aesthetic and functional recovery after six months of follow-up, with no recurrence. The article discusses the clinical management of the lesion, therapeutic alternatives, and the importance of reconstruction after resection. Keywords: Squamous cell carcinoma. Lower lip. Vermilionectomy.

Actinic cheilitis. Epithelial dysplasia. Surgical treatment.


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Referências


Hosal IN, Önerci M, Kaya S, Turan E. Squamous cell carcinoma of the lower lip. American Journal of Otolaryngology. 1992;13(6):363-5.

AC B. Squamous-cell epithelioma of the lip. A study of 537 cases. JAMA. 1920;74:656-64.

Antoniades D,Styanidis K, Papanayotou P, Trigonidis G. Squamous cell carcinoma of the lips in a northern Greek population. Evaluation of prognostic factors on 5-year survival rate—I. European Journal of Cancer Part B: Oral Oncology. 1995;31(5):333-9.

Baker SR. Malignant neoplasms of the oral cavity. Otolaryngology-head and neck surgery. 1993; 2:1281-343.

de Oliveira Mendonça PB. A metodologia científica em pesquisas educacionais: pensar e fazer ciência. Interfaces Científicas-Educação. 2017;5(3):87-96.

Frierson Jr HF, Cooper PH. Prognostic factors in squamous cell carcinoma of the lower lip. Human pathology. 1986;17(4):346-54.


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