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Type: Journal article
Title: Cutaneous lip tumours treated with Mohs micrographic surgery: clinical features and surgical outcome
Author: Leibovitch, I.
Huilgol, S.
Selva-Nayagam, D.
Paver, R.
Richards, S.
Citation: British Journal of Dermatology, 2005; 153(6):1147-1152
Publisher: Blackwell Science Ltd
Issue Date: 2005
ISSN: 0007-0963
Abstract: <h4>Background</h4>The Australian Mohs micrographic surgery (MMS) database was initiated in 1993 by the Skin and Cancer Foundation Australia (SCFA) with the aim of collecting prospective data, and involved all Mohs surgeons in the country.<h4>Objectives</h4>To present a large series of patients with cutaneous lip tumours treated with MMS in Australia between 1993 and 2002.<h4>Methods</h4>This prospective multicentre case series included all patients with cutaneous lip tumours who were monitored by the SCFA. The main outcome measures were patient demographics, reason for referral, duration of tumour, site, preoperative tumour size and postoperative defect size, recurrences prior to MMS, histological subtypes, perineural invasion and 5-year recurrence after MMS.<h4>Results</h4>There were 581 patients (66.1% women and 33.9% men, P < 0.0001) with a mean +/- SD age of 58 +/- 15 years. The upper lip was the most common site involved (81.1%). Basal cell carcinoma (BCC) was diagnosed in 82.3%, squamous cell carcinoma (SCC) in 16.5%, Bowen's disease (BD) in 0.7% and microcystic adnexal carcinoma (MAC) in 0.5% of cases. BCC was more common on the upper lip and in women, whereas SCC was more common on the lower lip and in men (P < 0.0001). Most upper lip tumours occurred in women (75.4%), whereas most lower lip tumours occurred in men (73.6%). SCC was associated with a larger tumour and postoperative defect size compared with the other tumours. The 5-year recurrence for BCC was 3.0%, and there were no cases of recurrence for SCC, BD or MAC.<h4>Conclusions</h4>BCC was the most common cutaneous lip tumour managed by MMS, and was significantly more common on the upper lip and in women. The low 5-year recurrence rate emphasizes the importance of margin-controlled excision.
Keywords: Humans
Carcinoma, Basal Cell
Carcinoma, Squamous Cell
Lip Neoplasms
Neoplasm Invasiveness
Neoplasm Recurrence, Local
Treatment Outcome
Mohs Surgery
Prospective Studies
Sex Factors
Middle Aged
DOI: 10.1111/j.1365-2133.2005.06903.x
Appears in Collections:Aurora harvest 2
Surgery publications

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