Title:
Natural history of a squamous cell carcinoma of the lower lip
Authors:
W. Baetens , P. Baetens , F. Gordts and O. Michel
Institutions:
ENT department of the University Hospital of the Vrije Universiteit Brussel; General practitioner, Frankrot 44, 9420 Erpe-Mere (Aaigem), Belgium
Keywords:
Squamous cell carcinoma; lower lip cancer; natural history
Pages:
79 - 82
Abstract:
Natural history of a squamous cell carcinoma of the lower lip. Objective: In lip-cancer cases without significant co-morbidities, curative treatment is preferable to palliative; although, the patient may refuse care. This case report describes the natural progression of squamous cell carcinoma (SCC) of the lower lip. Case report: A 76-year-old, non-smoker, male farmer had a lesion on his left lower lip that was clinically and histological proven to be a T 1 M0SCx. During the first consultation, no cervical lymph nodes were palpated. Initially, the patient himself treated the SCC with udder ointment. Three years later, he had difficulties eating solid food and his meals consisted mainly of liquid nutrients. The lesion initially progressed slowly, but grew fast after 3 years and Even in this mutilating stage, the patient refused treatment. Conclusion: Despite the tumor stage and co-morbidities, the patient makes the treatment decisions; therefore, the implications of these decisions must be discussed.
Issue:
Vol. 13, 2017, 1st trimester


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Natural history of a squamous cell carcinoma of the lower lip