Squamous-cell carcinoma of the lower lip
a retrospective study of 58 patients
Palavras-chave:
Lip cancer, Lip neoplasm, Squamous-cell carcinoma, prognostic factors, Head and neck cancerResumo
Entre os pacientes portadores de carcinoma espinocelular do lábio inferior, atendidos no período de janeiro de 1980 a dezembro de 1989, no Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, analisamos, retrospectivamente, 58 prontuários. além dos dados demográficos, as informações relativas aos pacientes foram completadas com anotações sobre o uso de álcool, fumo e exposição solar. O estadio clínico na época da cirurgia, bem como as características macroscópicas dos tumores, o tipo de tratamento instituído e as observações do seguimento pós-operatório também foram anotados. Foi, então, realizada uma minuciosa revisão anatomopatológica dos espécimes cirúrgicos, analisando o grau de diferenciação histológica, espessura, máxima tumoral, elastose solar, invasão perineural, invasão vascular, invasão muscular, margens cirúrgicas, infiltrado inflamatório peritumoral e acometimento ganglionar, com ou sem rotura capsular. a análise da sobrevida global a 5 anos demonstrou diferenças estatisticamente significativas para as variávies espessura tumoral, tamanho do tumor (T) e acometimento ganglionar.
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