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Cuenin M, Salleron J, Peiffert D, Meknaci É, Gallet P, Abushama Y, Py JF, Renard S. Interstitial brachytherapy for lip carcinomas: Comparison between Ir-192 low-dose-rate and high-dose-rate treatment. Cancer Radiother 2024; 28:145-151. [PMID: 38072744 DOI: 10.1016/j.canrad.2023.06.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 06/01/2023] [Accepted: 06/02/2023] [Indexed: 04/22/2024]
Abstract
PURPOSE Low-dose-rate (LDR) and high-dose-rate (HDR) interstitial brachytherapy are known to be effective in the treatment of lip carcinomas. The aim of this study was to retrospectively compare oncologic and toxicity outcomes between the two techniques. PATIENTS AND METHODS From 2007 to 2018, patients at the Institut de cancérologie de Lorraine (France) who received exclusive or adjuvant interstitial brachytherapy for lip squamous carcinomas were studied. Two groups were defined: the LDR/PDR group, including patients treated with iridium-192 wires, or pulsed-dose rate technique, and the high-dose-rate group, with patients treated by high-dose-rate technique. The dose ranged between 50Gy and 65Gy (depending on previous surgery) for low-dose-/pulsed-dose rate treatments, and 39Gy for high-dose-rate (twice a day). Early, late toxicity events and oncologic control were reported. RESULTS Among the 61 patients whose data were analyzed retrospectively, 36 received the low-dose-/pulsed-dose rate treatment (59%) and 25 the high-dose-rate brachytherapy (41%). The median follow-up time was 44 months. At 36 months, the local control rates were 96.3% for LDR/PDR group and 100% for HDR (P=0.180). The regional control rates were 85.9% and 92% without any difference according to the two groups (P=0.179). The specific overall survival rate was 95.5% with no difference between groups. There were more grade 2 or higher mucositis in the HDR group than in LDR/PDR group (40% versus 16.7%, P=0.042). One case of grade 3 mucositis was recorded in each group. No grade 3 late complications were recorded. High-dose-rate brachytherapy reduced the length of hospitalization by 2 days (P<0.001). CONCLUSION High-dose- or low-dose-/pulsed-dose rate brachytherapy seemed to be as effective and well tolerated in our experience of 61 patients.
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Affiliation(s)
- M Cuenin
- Radiation Oncology Department, Institut de cancérologie de Lorraine, Vandœuvre-lès-Nancy, France.
| | - J Salleron
- Biostatistics Department, Institut de cancérologie de Lorraine, Vandœuvre-lès-Nancy, France
| | - D Peiffert
- Radiation Oncology Department, Institut de cancérologie de Lorraine, Vandœuvre-lès-Nancy, France
| | - É Meknaci
- Radiation Oncology Department, Institut de cancérologie de Lorraine, Vandœuvre-lès-Nancy, France
| | - P Gallet
- Head and Neck Surgery Department, CHU de Nancy, Nancy, France
| | - Y Abushama
- Head and Neck Surgery Department, CHU de Nancy, Nancy, France
| | - J-F Py
- Radiation Oncology Department, Institut de cancérologie de Lorraine, Vandœuvre-lès-Nancy, France
| | - S Renard
- Radiation Oncology Department, Institut de cancérologie de Lorraine, Vandœuvre-lès-Nancy, France
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Guyon A, Bosc R, Lange F, Ortonne N, Plantier F, Chosidow O, Wolkenstein P, Hersant B, Meningaud JP. Retrospective Outcome Analysis of 39 Patients Who Underwent Lip Surgery for Cutaneous Carcinoma. J Maxillofac Oral Surg 2016; 15:478-483. [PMID: 27833340 DOI: 10.1007/s12663-015-0878-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 12/12/2015] [Indexed: 10/22/2022] Open
Abstract
PURPOSE The treatment of lip carcinomas needs tumor surgical resection with safety margins respect. The aim of this study was to report the oncologic and aesthetic/functional outcomes of a retrospective monocentric case series of 39 patients treated for cutaneous lip cancer. METHODS This retrospective study assessed 56 patients who were treated for a lip carcinoma between 2008 and 2012 and included 39 patients with cutaneous lip basal cell carcinoma or squamous cell carcinoma. Clinical, surgical and pathological data were reviewed, and patients were interviewed for follow-up data. A comparison was made between the marked surgical margins and the margins observed under microscopy after histologic process. RESULTS The most frequent tumor type was basal cell carcinoma in 69.2 %. The measured surgical margins were superior to the histological margins in 24 cases (61.5 %) and were inferior in 13 cases (33.3 %). Overall survival and recurrence-free survival rates at 1 year were 97.5 and 95 % respectively. CONCLUSION Differences between the surgical margins and the final histologic margins were the main finding of this retrospective study. These differences were attributed to surgical practices and modification during the histological process. Nevertheless, we did not observe a higher rate of recurrence or death in our study than in literature.
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Affiliation(s)
- Alice Guyon
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; UPEC, University Paris Est Creteil, Val de Marne, France
| | - Romain Bosc
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; UPEC, University Paris Est Creteil, Val de Marne, France
| | - Frederic Lange
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; UPEC, University Paris Est Creteil, Val de Marne, France
| | - Nicolas Ortonne
- UPEC, University Paris Est Creteil, Val de Marne, France ; Department of Pathology, Henri Mondor Hospital, Créteil, France
| | - Françoise Plantier
- Department of Pathology, Intercity Hospital of Creteil, Val de Marne, France
| | - Olivier Chosidow
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; Department of Dermatology, Créteil, France ; French Satellite of the Cochrane Skin Group, Créteil, France ; Centre d'investigation Clinique Inserm 006 and EA 439, Créteil, France
| | - Pierre Wolkenstein
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; Department of Dermatology, Créteil, France ; French Satellite of the Cochrane Skin Group, Créteil, France ; Centre d'investigation Clinique Inserm 006 and EA 439, Créteil, France
| | - Barbara Hersant
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; UPEC, University Paris Est Creteil, Val de Marne, France
| | - Jean-Paul Meningaud
- Department of Plastic, Reconstructive and Aesthetic Surgery, Henri Mondor Hospital, 51, avenue du Maréchal de Lattre de Tassigny, 94000 Créteil, France ; UPEC, University Paris Est Creteil, Val de Marne, France
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Piñera-Marques K, Lorenço SV, da Silva LFF, Sotto MN, Carneiro PC. Actinic lesions in fishermen's lower lip: clinical, cytopathological and histopathologic analysis. Clinics (Sao Paulo) 2010; 65:363-7. [PMID: 20454492 PMCID: PMC2862672 DOI: 10.1590/s1807-59322010000400003] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/07/2010] [Revised: 01/15/2010] [Accepted: 01/15/2010] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION Actinic cheilitis (AC) is considered to be a pre-malignant lesion or an incipient and superficial form of lip squamous cell carcinoma. It is commonly found in individuals whose occupational activities are related to chronic sun exposure and the definitive diagnosis is performed with biopsy. Although Exfoliative cytology has been used as a screening procedure to evaluate cancer of the oral cavity no studies have proposed the use of exfoliative cytologic analysis to evaluate and diagnose AC. OBJECTIVE The purpose of this study was to evaluate lower lip lesions on fishermen related to chronic solar exposure using clinical, cytologic and histopathologic analyses. PATIENTS AND METHODS Smears taken from the vermilion of the lower lips of 125 fishermen and 30 control individuals were subjected to cytologic analysis. RESULTS The harvested cells were sufficient for cytologic analysis in 83.2% of the samples. Sixteen fishermen exhibited prominent lower lip lesions that justified biopsy and histological studies. In total, 4 specimens were malignant (3.2%), and 12 displayed epithelial dysplasia, demonstrating that the prevalence of epithelial dysplasia and malignant lesions was high among the fishermen population. These conditions were strongly associated with infiltration and blurring of the vermilion margin of the lower lip. CONCLUSION The cytologic analysis was not useful for detecting epithelial dysplasia or malignant alterations.
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Affiliation(s)
- Karine Piñera-Marques
- General Pathology Department, Universidade do Sul de Santa Catarina (Unisul) - Palhoça/SC, Brazil
| | - Silvia Vanessa Lorenço
- General Pathology Department – University of São Paulo Dental School - São Paulo/SP, Brazil
| | - Luiz Fernando Ferraz da Silva
- Department of Pathology, Faculdade de Medicina da Universidade de São Paulo - São Paulo/SP, Brazil., Tel.: +55 48 3221.7569,
| | - Mirian Nacagami Sotto
- Department of Pathology, Faculdade de Medicina da Universidade de São Paulo - São Paulo/SP, Brazil., Tel.: +55 48 3221.7569,
| | - Paulo Campos Carneiro
- Department of Pathology, Faculdade de Medicina da Universidade de São Paulo - São Paulo/SP, Brazil., Tel.: +55 48 3221.7569,
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