Treatment results of lip carcinoma in Holy Cross District in Poland and treatment failures analysis

Objective: The assessment of cancer surgical treatment results, measured with oncological standards, linked with oncological treatment failures analysis, including also the occurrence of second primary cancer, create the basis for verification of applied treatment strategy. Material: 312 patients with lip carcinoma were treated primarily with surgery or in combination with post-surgical Rtg-therapy. Depending on local staging, in the most of cases the “V” or “W” resection with or without the vermilionectomy was performed. When resection required the reconstruction of lip defect, the Bernard-Burov method was the most commonly used. In cases where the regional I + II + III lymph node resection was performed it was followed by Rtg-therapy. Methods: Using the Kaplan-Meier method, the calculation of overall survival (OS), disease free survival (DFS) and disease specific survival (DSS) was done. The descriptive characteristic of oncologic treatment failures, including occurrence of second primary cancer was also presented.Results: The results of 3-years and 5-years overall, disease free and disease specific survivals have located within the limits presented in literature, what may be recognized as a support of applied treatment policy. In oncological treatment failures which have been recorded in 20,2%, the metastases to regional lymph nodes have dominated. In 76,2% treatment failures were observed in the first 3 years of follow up.