PURPOSE: The aim of this study is to evaluate our approach to @entity1 with @entity957 of lower lip. @entity1 AND METHODS: This study includes 31 @entity957 followed up between 1994 and 2000. Primary treatment was applied to 28 @entity1 of whom 23 were in stages I-II and five in stages III-IV. Three @entity1 presented locoregional recurrence. Neck dissection was performed during primary lip resection in @entity1 with palpable cervical lymph node involvement. @entity1 with unpalpable cervical lymph nodes were divided into two subgroups: one was submitted to elective neck dissection (n = 11) and the other had isolated lip resection (n = 8). Unilateral or bilateral selective supra-omohyoid neck dissection (SOHND) was performed according to the localisation of the disease. Radical dissection was performed in a secondary intervention, when SOHND revealed lymph node @entity3 . Radiotherapy and chemotherapy were applied for curative and/or adjuvant treatment in addition to surgery in @entity1 with locoregional recurrence and metastatic lymph nodes or with perineural involvement. RESULTS: Occult cervical @entity3 within a single lymph node was found in one of the 11 No @entity1 who underwent elective neck dissection. Delayed neck @entity3 developed in one of the eight @entity1 in whom isolated lip resection (without neck exploration) was performed. Chemoradiotherapy was administered to this @entity1 , but he died. Neck @entity3 was established histologically in four of five @entity1 in stages III-IV. Postoperative radiotherapy was used on these @entity1 . One of the @entity1 in this group died due to inoperable local recurrence in the neck, another died because of distant @entity3 . Local mandibular recurrence was seen in one of these @entity1 after three years. COMMENT: Six @entity1 (19%) died due to lower @entity9867 in this series. Our findings show the importance of elective neck dissection and intact surgical resection margins.

XXXX of the lower lip and supra-omohyoid neck dissection.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient', 'PATIENTS'] @entity957 :: ('MESH:D002294', 'Disease') :: ['squamous cell carcinoma', 'lower lip squamous cell carcinomas'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis', 'metastases'] @entity9867 :: ('MESH:D008048', 'Disease') :: ['lip carcinoma']
@entity957 :: (MESH:D002294,Disease) :: ['Squamous cell carcinoma']
